AHA Coding Clinic® for ICD-9 - 2011 Issue 2; Clarification
Lysis of Adhesions
A 69-year-old man with recurrent incisional hernia is admitted to undergo an incisional herniorrhaphy with mesh. An incision was made in the midline and carried through the skin and subcutaneous tissue. A large hernia sac was encountered. The fascia was dissected off both the right and left of the midline and the hernia sac was divided and removed. The surgeon documented within the operative report that the patient had some adhesions of the omentum and abdominal wall, which were freed as well. There was no separate documentation of the presence of adhesions. Is it appropriate to assign a diagnosis code for adhesions and a procedure code for lysis in this case? ...
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