Ob-Gyn Coding Alert

Question: My ob-gyn performed an "operative laparoscopy adhesiolysis, abdominal myomectomy." How should I report this?Answer: In other words, your ob-gyn performed laparoscopic lysis of adhesions, then converted to an open myomectomy.For the laparoscopic lysis of adhesions, you should report 58660 (Laparoscopy, surgical; with lysis of adhesions [salpingolysis, ovariolysis] [separate procedure]). To report this code, you should make sure that the type of adhesions your ob-gyn addressed is the kind that payers normally reimburse. If your ob-gyn does not thoroughly describe the adhesions in the op report, trying to report the lysis is a waste of your time and a line item on the claim form.For the abdominal myomectomy, you should report either 58140 (Myomectomy, excision of fibroid tumor[s] of uterus, 1 to 4 intramural myoma[s] with total weight of 250 grams or less and/or removal of surface myomas; abdominal approach) or 58146 (Myomectomy, excision of fibroid tumor[s] of uterus, 5 [...]