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

Article Overview

This December 2011 CPT Assistant Q&A addresses laparoscopic adhesiolysis in the context of female genital system surgery. It is aimed at coders, billers, and clinical documentation staff who need to understand the scope of the discussion, the relevant CPT code set, and the type of payer and documentation guidance referenced in the article.

Why This Topic Matters

The article helps readers determine whether the full discussion is relevant to laparoscopic adhesiolysis scenarios and related reporting questions. It also highlights the importance of documentation and payer-specific guidance when handling unlisted laparoscopic procedures and procedure-to-procedure relationships.

Article Sections

  1. December 2011 page 16a

    A brief Q&A format discussion focused on laparoscopic adhesiolysis reporting in female genital system surgery. The section addresses coding context, documentation considerations, and payer-related guidance.

What You Will Learn

  • The scope of the article’s discussion of laparoscopic adhesiolysis
  • How the article frames reporting considerations for unlisted laparoscopic procedures
  • What kinds of documentation and payer guidance the article emphasizes
  • The general CPT context for female genital system surgery coding

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Clinical documentation specialists
  • Practice managers

Codes Discussed

Modifiers Discussed


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