AHA Coding Clinic® for ICD-9 - 1990 Fourth Quarter

Lysis of Adhesions

Coders should not code adhesions and lysis thereof, based solely on mention of adhesions or lysis in an operative report. Determination as to whether the adhesions and the lysis are significant enough to code and report must be made by the surgeon. Adhesions from previous surgery are the most common cause of intestinal obstruction in the United States. When such obstruction is present, lysis of adhesions is usually the major procedure performed and both the diagnosis of adhesions and the procedure for lysis should be coded. Occasionally, obstruction is not present, but a strong band of adhesions prevents the...

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