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AHA Coding Clinic® for HCPCS - 2019 Issue 3; For Your Information

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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