Results 1 to 3 of 3

Help with coding Sm.Bowel Resect/Lysis of ad

  1. #1
    Default Help with coding Sm.Bowel Resect/Lysis of ad
    Exam Training Packages
    My Doc was first asst on an Ex.laparotomy,Sm Bowel Resect and Lysis of adhesions. Diag:560.81
    I asked the attending for CPT codes and was sent the following: 44120 along with 44005-59. I believe that 44005 is bundled and cannot be billed without a 22 modifier and supporting documentation. Please help
    Thank you
    Deb, CPC

  2. Default
    Usually, lysis of adhesions would be bundled into the main procedure. Depending upon the documentation (did the surgeon spend excessive time lysing adhesion before he could get to the small bowel?) you may be able to add modifier 22 to the main procedure and adjust your fee (higher) to compensate for the additional work involved. But the circumstances need to be documented within the OP note. Some insurances may pay for the additional effort involved.

    ~L
    CPC, CGSC, COSC

  3. #3
    Default
    Quote Originally Posted by Hopp View Post
    My Doc was first asst on an Ex.laparotomy,Sm Bowel Resect and Lysis of adhesions. Diag:560.81
    I asked the attending for CPT codes and was sent the following: 44120 along with 44005-59. I believe that 44005 is bundled and cannot be billed without a 22 modifier and supporting documentation. Please help
    Thank you
    Deb, CPC
    That's right, the lysis of adhesions is bundled and the 44120 can be billed with a 22 modifier but since your doc was only the assist, you can only bill for what the primary surgeon is billing for at 25% of their fees. I would call the coder at the primary surgeon's office (unless its another surgeon in your practice) and talk to them. If that doesn't work, have your office manager or your surgeon call the other surgeon and explain the situation. I would only bill for the 44120 though.
    Chrissy, CPC

Similar Threads

  1. Exp. lap with sm. bowel resect and cholecystectomy
    By tldixon@mokancomm.net in forum Gastroenterology
    Replies: 5
    Last Post: 11-02-2012, 08:12 AM
  2. Exp. lap with lysis of adhesions; Small Bowel resect;Cholecystectomy
    By tldixon@mokancomm.net in forum Gastroenterology
    Replies: 0
    Last Post: 10-26-2012, 10:11 AM
  3. Help with Coding:Near Total Sm.Bowel Resect
    By Hopp in forum General Surgery
    Replies: 0
    Last Post: 11-03-2009, 02:00 PM
  4. Sm Bowel Resect./Enteroenterostomy Closure
    By Hopp in forum General Surgery
    Replies: 1
    Last Post: 08-24-2009, 10:20 AM
  5. Help with Coding Right Hemi & Sm.Bowel Resect
    By Hopp in forum General Surgery
    Replies: 2
    Last Post: 12-08-2008, 11:29 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.