AHA Coding Clinic® for HCPCS - 2010 Issue 3; ASK the EDITOR

Lysis of Adhesions

A patient with chronic pelvic pain and severe dyspareunia presents for laparoscopy. The patient was brought to the operating room and given general anesthesia. The laparoscopy was started and numerous adhesions were found between the omentum and uterus, as well as the omentum and anterior abdominal wall. These extensive adhesions were taken down with sharp and blunt dissection and a Ligasure device was also utilized to remove these adhesions. This portion of the procedure required significant operating time before the remainder of the operation was completed, which included right salpingo-oophorectomy, fulguration of pelvic endometriosis, and chromopertubation. Would it be appropriate in this scenario to separately report the lysis of adhesions? ...

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