Lysis of adhesions

The article “To lyse or not to lyse adhesions,” published in the AHA’s Coding Clinic for HCPCS, Fourth Quarter 2018 newsletter, provided coding advice in two Q&A’s stating that lysis of adhesions ( 58660 ) should be additionally reported with other laparoscopic surgical codes ( 58661 , 58662 ). However, lysis of adhesions is identified as a separate procedure and also no modifier is allowed in order to bypass the NCCI edit. Our question is why would the AHA’s Coding Clinic for HCPCS advise facilities to report lysis of adhesions when there is no modifier allowed in the Procedure to Procedure (PTP) Coding Edits? What is the rationale? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article examines a coding question about reporting guidance for lysis of adhesions in the context of laparoscopic surgical procedures and National Correct Coding Initiative edit logic. It is aimed at facility coding professionals, auditors, and revenue cycle staff who need to understand the broader policy issue and why the topic remains relevant when procedure-to-procedure edits are involved.

Why This Topic Matters

It helps readers determine how official coding guidance, edit structure, and procedure reporting questions intersect in facility coding. The topic is important for anyone reviewing laparoscopic operative coding under NCCI edit rules and Coding Clinic guidance.

Article Sections

  1. The NCCI Edits

    Introduces the edit framework discussed in the article and frames the coding question in relation to procedure reporting guidance.

What You Will Learn

  • How the article frames the relationship between facility coding guidance and edit policy
  • Why the topic of lysis of adhesions is relevant to laparoscopic procedure reporting
  • How the article situates the question within NCCI-related guidance from 2018
  • What broader coding-policy issue the article is addressing

Who Should Read This

  • Facility coders
  • Coding auditors
  • Revenue cycle staff
  • Coding compliance professionals
  • Health information management professionals

Codes Discussed


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