Wiki Cesarean delivery / lysis of pelvic adhesions

[astough]

Hello,

My doctor performed a cesarean delivery on a patient but due to severe adhesions he spent 2 hours doing lysis of these adhesions. I am assuming that I can bill for the lysis of adhesions as well as the delivery with a 22 modifier - if I can bill this, would I put the modifier on the 59510 (delivery) or 58740 (adhesiolysis)?

 

[bonzaibex]

Lysis of Adhesions (LOA) is very often bundled into the primary surgery. In my opinion, you'd be better off reporting the 59510-22 only and trying to get extra money for the extra time and effort doing the LOA part. You could try billing the 58740-22 & 59510, but chances are the 58740 will be bundled.

Becky, CPC

 

[astough]

Thanks for your input. Wish me luck =)