Use -22 on primary code only for extensive lysis of adhesions

Why This Topic Matters

Adhesiolysis frequently occurs during abdominal surgery, and improper reporting can lead to denials or missed reimbursement. Understanding the broad guidance helps coders evaluate whether the work is bundled, when additional payment may be requested, and what documentation should support the claim.

Article Sections

1. Bundling and separate-procedure guidance

   This section discusses how adhesiolysis is generally treated when performed alongside other abdominal procedures and references Medicare, CCI, and CPT concepts relevant to reporting.

2. When adhesiolysis is the primary service

   This section outlines situations in which lysis of adhesions may be the only service performed and discusses open and laparoscopic contexts at a high level.

3. Documentation and reimbursement support

   This section focuses on the kinds of documentation and case comparison information used to support claims involving unusually extensive work.

4. Lysis of Lesions in Brief

   This section provides a brief overview of when adhesiolysis is considered integral to another procedure and when it may represent additional work, along with general coder review considerations.