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lysis of adhesions with cholecystectomy

  1. #1
    Default lysis of adhesions with cholecystectomy
    Exam Training Packages
    when is lysis of adhesions coded separately when performing a cholecystectomy? For example, the doctor states it takes half the time of the entire procedure to perform the lysis of adhesions. (The doctor does not ask to bill it separately if the lysis of adhesions is around the gallbladder and need to be removed before reaching the gallbladder.)
    how is this billable for BOTH Inpatient and Outpatients cases and the doctor would like to know why it is different between inpatient and outpatiend

  2. #2
    Location
    Milwaukee WI
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    4,466
    Default Separate Procedure
    Lysis of adhesions (44005 OR 44180) can be coded ONLY when it is the ONLY procedure performed.

    If the surgeon had to perform extensive lysis of adhesions before the primary procedure could be completed, then you might be able to append a -22 modifier to your primary procedure code - IF - big, red IF - this is properly documented.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Default
    Thank you Tessa,

    This is exactly what I explained to her I just wanted confirmation from another coder. I appreciate your help!

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