Results 1 to 2 of 2

Laparoscopic lysis of adhesions

  1. #1
    Exclamation Laparoscopic lysis of adhesions
    Medical Coding Books
    The procedure was laparoscopic lysis of adhesions. When the second trocar site placed in suprapubic area , the prbe was used to push most of the bowels back into the upper abdomen. There were significant adhesions to the back of the uterus. The bowel was adhesed to the posterior uterus and the cul-de-sac. Since the Dr was unable to see into the cul-de-sac or left adenexa a general surgeon was called in to assist on adhesions of the bowel of the back of the uterus. Some adhesions were safely taken down. The right ovary and tube were fully visualized and normal with no evidence of torsion and actually the tube appeared halthy with normal fimbrae. However the left side, there were more adhesions in this area. I was able to glimpse the left tube. There was possibly some edema, but definitely without any adhesion and part of the ovary appeared to be normal. Again, I was really unable to clearly see into the cul-de-sac because of the dense adhesions and we were abel to completely remove the bowel off the uterus for this reason as well. At this point, the procedure was aborted feeling itunsafe to contimue with adheiolysis without this patient having a bowel prep. Hwoever, the GYN organs were visualized and appeare normal as well as the appendix.

    How would this be coded? It seems more work involved than just 58660.

  2. #2
    In some cases, you can add the -22, but you must make sure that the documentation supports it and you have to submit the op note with the claim as well. The other thing is that the surgery was aborted, which in some cases requires the -52 modifier for reduced services. You should query your doc if you aren't sure.

Similar Threads

  1. Laparoscopic lysis of omental adhesions
    By sknapp56 in forum OB/GYN
    Replies: 4
    Last Post: 11-14-2012, 09:07 AM
  2. Laparoscopic lysis of pelvic adhesions
    By burnam in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 05-19-2011, 06:15 AM
  3. Replies: 8
    Last Post: 04-29-2009, 12:53 PM
  4. Laparoscopic cholecystectomy w/lysis of adhesions
    By bpiggott in forum General Surgery
    Replies: 8
    Last Post: 02-11-2009, 02:30 PM
  5. Lysis of Adhesions - Wondering if anyone knew the CPT
    By mad_one80 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 01-28-2009, 02:16 PM

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?


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.