tci General Surgery Coding Alert - 2000 Issue 2

Reader Question: Laparoscopic Lysis of Adhesions

Question: A general surgeon was performing a gallbladder removal through the scope and called me in to evaluate an adhesion between the fallopian tube and the abdominal wall. I scrubbed in and, using the existing ports, lysed the adhesion. I visited the patient twice during the post-operative period. How do I code this? SuzAnne Palmer, MD Milledgeville Ob/Gyn, Ga.Answer: The correct billing would be 56304 (laparoscopy, surgical; with lysis of adhesions [salpingolysis, ovariolysis] [separate procedure]) with modifier -52 (reduced services) attached, says Susan Callaway-Stradley, CPC, CCS-P, a coding and reimbursement specialist and educator in North Augusta, S.C...

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