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Thread: Extensive Lysis of adhesions

  1. #1
    Join Date
    Apr 2007
    Biloxi, MS

    Default Extensive Lysis of adhesions

    AAPC: Back to School
    Redo thoracotomy
    Dense lysis of adhesions spent 2 hours to dissect down to tumor
    Wedge resection of the right upper lobe.
    Without typing whole op report this is the gist of it. My surgeon mentions all of these in his report. My question is can I code the lysis of adhesions, it was extensive? Or is it considered part of the wedge resection?

  2. #2
    Join Date
    Apr 2007
    Central Indiana


    I would try to bill it. Especially with strong documentation that this was over and above usual dissection time. A note in box 19 would be necessary and the payor may ask for the report anyway, but worst case scenario is that it has to be written off as a bundled service.

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