I can't tell on this report what exactly was done- It looks like the physician did an exploratory laparotomy. Does he have to say 'lysis of adhesions' in order to code that? The only thing I have is "the wall to wall adhesions were taken down sharply straightening out that segment of small bowel." He also collected some gelatinous material and sent to pathology. I'm thinking it should be coded with 49000 as an exploratory lap only. Any thoughts?