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GYN Surgery

  1. #1
    Default GYN Surgery
    Medical Coding Books
    I dont do very many GYN surgerys so i need some help please.

    Pt had Laparoscopic exam, with dissection of adheasions of the bowel - pelvic sidewall along with Right Oophorectomy.

    I found 58661 for the Oophorectomy. But i'm stumped on the Bowel/pelvic Adhesions and how to code it.

    Thanks So much =D

  2. Default
    I have been told that if dissecting the adhesions was part of releasing the ovary so it could be removed or to clear the surgical field to enable access to the ovary, it is considered part of the Oophorectomy and would not be billed separately.

    Nancy

  3. Default
    I just coded a procedure very simular to yours and was unable to code out the lysis of lesions seperately.

  4. #4
    Default
    Thanks everyone, i'll go ahead and send it the way i have it !!
    THANKS AGIAN !! its much appreciated !

  5. #5
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Lysis of adhesions is bundled with just about every procedure as an integral component (aka "separate procedure"). If the adhesions are dense enough and required an above average amount of time to remove, you can use mod -22 on the primary procedure BUT the documentation MUST support the extra work (increased procedural service).
    Lisa Bledsoe, CPC, CPMA

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