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Dissection of the rectum from the cervix??

  1. #1
    Default Dissection of the rectum from the cervix??
    Medical Coding Books
    Please let me know if you have any experience with this:

    General surgeon received an intra-operative consult from an OB performing a open hysterectomy on a pt with significant adhesions of the rectum to the cervix.

    Preop/Post op diagnosis: Dense adhesions in the pelvis

    Description of the Procedure: The patient's abdomen & pelvis was already opened and dissection for the hysterectomy was underway. I was called intraoperatively to evaluate the adhesions of the rectum to the cervix. Using the Metzenbaums and electrocautery, I dissected the rectum freely from the cervix to allow the completion of the TAHBSO. Hemostasis was obtained. At this time, Dr. ______ concluded the procedure.

    Total Dissection time 15 minutes.

    Any takers for the procedure code??

  2. Default Loa
    How about 44005!

  3. #3
    Default
    44005 states "freeing of intestinal adhesions"; in this case the rectum is adhered to the cervix, so I don't think 44005 would apply??

    I think I need more like a debridement code or a mobilization code??

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