Surgery / Female Genital System (March 2003)

March 2003 page 21c Coding Consultation: Questions and Answers Female Genital System, 58660 (Q&A) Question What is the appropriate code to report for the removal of ovariolysis of adhesions laparoscopically? AMA Comment Code 58660 , Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) , can be reported in addition to the primary procedure, only if dense/extensive adhesions are encountered that require effort beyond that ordinarily provided for the laparoscopic procedure. Lysis of adhesions typically is included as part of the laparoscopic surgery performed. As code 58660 is designated as a separate procedure, modifier '-59,' Distinct procedural Service...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This March 2003 CPT Assistant Q&A focuses on a female genital system surgery coding question involving laparoscopic adhesiolysis. It explains the general context for reporting a separate procedure, the role of documentation, and the possibility that payer policies may differ. The article is useful for coders, billers, and audit staff working with CPT surgical reporting in gynecology and related laparoscopic services.

Why This Topic Matters

It helps readers identify when a common laparoscopic surgical service is discussed in the context of CPT reporting and documentation expectations, while also highlighting that payer rules may vary.

Article Sections

  1. Coding Consultation: Questions and Answers

    A short Q&A format focused on a specific coding question from the female genital system surgery section. The discussion centers on CPT reporting context and related documentation and payer considerations.

What You Will Learn

  • The general CPT reporting context for a laparoscopic female genital system service
  • How the article frames documentation expectations for a separately reported surgical service
  • Why payer-specific guidance may need to be checked for this type of claim issue
  • How a coding Q&A format presents surgical coding guidance in a specialty area

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Revenue cycle professionals
  • OB-GYN practice administrators

Codes Discussed

Modifiers Discussed


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