AMA CPT® Assistant - 2011 Issue 12 (December)

Surgery: Female Genital System (Q&A) (December 2011)

December 2011 page 16a Surgery: Female Genital System Question: Is code 58660 to be used only for adhesiolysis of the ovaries and fallopian tubes or more broadly for pelvic adhesiolysis? For example, during a laparoscopic procedure, a surgeon performs extensive lysis of omental adhesions from the abdominal wall. Should code 58660 or code 49329 be reported? Janet Macievic, RHIA Answer: There is no specific CPT code for laparoscopic lysis of omental/abdominal adhesions. Because adhesions may complicate the successful performance of the laparoscopic procedure, lysis of adhesions is often the first step of the exploration and may not be coded...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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