Results 1 to 5 of 5

billing c-section with lysis of adhesions

  1. Default billing c-section with lysis of adhesions
    Medical Coding Books
    do you know if you can bill separately for lysis of adhesions when done at same time a c-section?

  2. Default
    You can bill the two together, but most payers will deny the lysis of adhesions inclusive per NCCI guidelines. The use of a modifier is not allowed. I hope this helps.....

  3. Default
    Great, thank you!

  4. Default
    In my openion:
    Cesarean section is a comprehensive and an unique service. Adhesions on the way of C-section for exposing the uterus and the uterine incisional area becomes a component of C-section performance. In that case the adhesiolysis cannot be reported separately, how ever, adhesiolysis is not a normal course of normal C-section.
    But having said that it is not an easy or less time consuming procedure.
    It requires extensive work and time to perform.

    So it merits for modifier-22 definitely, if not accepted for the adhesiolysis.
    With a detailed and pertinent surgical report, it should be accepted either of these.

    My request to GR8 is: why modifier not allowed? Could you please give the reason with reference.

  5. #5
    CCI Edits - 44005 is bundled with 59510. It's a column 2 code for 59510 and -51/-59 are not allowed to distinguish 44005 from 59510.

    Kimberly A. Sherman, MA, CPC
    Multi-Specialty Physician Coder/Entrepreneur

Similar Threads

  1. Lysis of adhesions
    By KPriceAZ08 in forum OB/GYN
    Replies: 1
    Last Post: 03-04-2014, 09:15 AM
  2. lysis of adhesions
    By pamannette in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 12-27-2011, 11:07 AM
  3. C-section with lysis of adhesions, etc
    By Valerie813 in forum OB/GYN
    Replies: 1
    Last Post: 01-08-2010, 03:13 PM
  4. C-section & lysis of adhesions
    By sukheshini in forum OB/GYN
    Replies: 3
    Last Post: 10-27-2009, 01:42 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.