tci General Surgery Coding Alert - 2018 Issue 6

Reader Question: Pick One Enterolysis Code

Question: The surgeon performed an open limited lysis of adhesions in the abdominal cavity and a laparoscopic lysis of extensive pelvic and ovarian adhesions. How should we code this? SuperCoder Subscriber Answer: You cannot bill together the codes for an open abdominal lysis of adhesions (44005, Enterolysis (freeing of intestinal adhesion) (separate procedure)) and a laparoscopic lysis of adhesions (58660, Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)). Correct Coding Initiative (CCI) edits bundle code 44005 as a column 2 code with 58660 with a modifier indicator of "0," meaning that you cannot override the edit...

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