tci General Surgery Coding Alert - 2015 Issue 9

Reader Questions: Account for Enterolysis Work

Question: The surgical note states that during a laparoscopic procedure, the surgeon encountered omental adhesions that made visualization difficult and required extensive lysing to free a section colon to access an area of abscess. The surgeon states, “I lysed loops of bowel, and I removed the appendix. I exposed additional adhesions of the sigmoid bowel to the right cul-de-sac and lower pelvis as well as a large abscess, right of the sigmoid bowel. I placed a Jackson-Pratt drain to drain the pelvis.” How should we code the procedure? Texas Subscriber Answer: The best code for the procedure...

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