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Thread: Laproscopic lysis of adhesions

  1. #1
    Join Date
    Apr 2007

    Default Laproscopic lysis of adhesions

    AAPC: Back to School
    We have a diagnosis of pelvic adhesions in a patient without ovaries. The physician removed adhesions in the lower abdomen surrounding the large intestine and the iloececal valve. We choose 58660 but have been challenged that we should have used 49329
    Any one have any input

  2. #2
    Join Date
    Apr 2007
    Coeur d'Alene



    I work for a group of general surgeons. I would hands down use neither on of those. I would use 44180 which is freeing of intestinal adhesions. The 58660 is for salpingolysis, ovariolysis not the intestines. I would not use an unlisted procedure either.

    Hope this helps.


  3. #3


    I also agree with 44180.

  4. #4

    Wink I agree

    We use the 44180 code as well.

  5. #5


    I would have used 44180 also.
    adrianne, cpc

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