Even though the provider performed both the 44180 and the 58661, the 44180 should not be reported (in most cases). The 44180 is considered a "separate procedure" which means it is only reported if it is not performed with another major procedure or part of another major procedure. So, the 58661 should be the only service reported as it already includes the RVU's (and payment) for the 44180.
To clarify my earlier "in most cases", in rare cases some payers will pay for the lysis of adhesions (44180) in addition to the other major surgical procedure if the lysis of adhesions was severe, extremely time consuming, etc. However, the documentation will have to support this service and you will often receive a denial of the initial claim and have to fight to attempt to get the service paid. Good luck!
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