tci General Surgery Coding Alert - 2001 Issue 3

Reader Question: Lysis of Adhesions

Question: How would I code an exploratory laparotomy with division of adhesive band and lysis of adhesions? The diagnosis was 560.81 (intestinal or peritoneal adhesions with obstruction [postoperative] [postinfection]).Illinois SubscriberAnswer: Division of the adhesive band typically refers to cutting of a specific adhesion (or adhesive band) causing the obstruction. No code describes such a division. Rather, this procedure is considered a part of lysis of adhesions. When a surgeon goes in to repair an obstruction and lyses adhesions, eventually he or she will find the adhesive band actually causing the obstruction and then cut it, says M...

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