February 2018 page 11
Surgery: Digestive System
Question: What Current Procedural Terminology (CPT®) code(s) should be reported when an operative intervention is performed solely for lysis of intestinal adhesions?
Answer: If lysis of intestinal adhesions is performed independent of any other procedure, code 44005, Enterolysis (freeing of intestinal adhesion) (separate procedure), or code 44180, Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) may be reported, as appropriate.
Question: What is the appropriate code(s) to report when a transanal endoscopic microsurgical (ie, TEMS) excision of rectal tumor, including muscularis propria (ie, full thickness) is performed?
Answer: Report code...
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This February 2018 CPT Assistant Q&A article addresses digestive system surgery coding topics. It is useful for coders, billers, and auditors who need to understand the scope of the guidance and the code sets involved, especially when reviewing operative reports for intestinal adhesion lysis and transanal endoscopic microsurgical procedures. The article presents short question-and-answer guidance centered on CPT and Category III CPT codes.
Why This Topic Matters
Digestive system surgery coding can hinge on procedure approach and whether a service is performed independently or as part of another intervention. This article helps readers identify the relevant CPT code family discussed in the guidance and understand that the premium content focuses on narrow coding scenarios.
Article Sections
February 2018 page 11
A short Q&A section covering digestive system surgical coding topics presented in February 2018. It focuses on two operative scenarios involving intestinal adhesions and transanal rectal tumor excision.
What You Will Learn
The digestive system surgery topics addressed in this February 2018 Q&A
Which coding scenarios are discussed for intestinal adhesions
Which coding scenario is discussed for transanal endoscopic microsurgical rectal tumor excision
How the article is organized as a CPT Assistant question-and-answer page
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