AAPC - Back to school
Results 1 to 3 of 3

Thread: Question about 44005

  1. #1

    Default Question about 44005

    AAPC: Back to School
    I have a question about billing 44005 with other procedures and will appreciate any help on this....
    My physicians feel that when they do lysis of adhesions with other procedures that even though it is a bundled code, it should still be billed when it is extensive and requires extra time. I have been told to try to bill it with a -22 modifier to show the additional work and to make sure that the physician has documentation in their op note as to why it was extensive and the amount of time it added to the procedure. I have billed this way to several different payers, had to do appeals and still not successfull with getting the payment. Can anyone provide information about this or tell me where I may could find additional information about billing lysis of adhesions with other procedures.
    Thank you in advance for the information.

  2. #2
    Join Date
    Apr 2007


    I believe if you look in your CCI edits 44005 has a 0 next to it indicating that it can't be billed with other procedures. Your only other option the way I understand it is to add a 22 modifier. As you stated, the physician should indicate in the op note how much extra time was required and why it was difficult.

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    The 22 modifier must be appended to the other procedure performed.
    Lysis of adhesions is routinely not considered medically necessary when performed with another procedure because adhesions are common and the physician does the lysis to make the procedure easier for him to perform, the note must show that the adhesions were extensive and the lysis of the adhesions had a therapeutic value for the patient. Then the 22 modifier can be appended, a copy of the operative is required when the 22 modifier is used.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. cpt code 44005
    By Hibbs in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 10-13-2015, 12:13 PM
  2. Reporting 58661 vs. 44005
    By Billing500 in forum OB/GYN
    Replies: 2
    Last Post: 01-15-2014, 03:48 PM
  3. 2002 Global Days - CPT 44005
    By AthensCoder in forum Billing/Reimbursement
    Replies: 4
    Last Post: 04-21-2011, 10:37 AM
  4. Lysis of adhesions 44005
    By mconnolly in forum General Surgery
    Replies: 2
    Last Post: 10-21-2010, 08:18 AM
  5. 44005 with another code
    By nauger in forum General Surgery
    Replies: 1
    Last Post: 02-13-2009, 06:53 AM

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.