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, should be appended in order to indicate that code 58660 is not considered an integral component of the other procedure(s).
As is customary with other surgeries, it is irrelevant whether the adhesions or lysis of adhesions are included in the title of the operation. Determination as to whether the adhesions and the lysis are significant enough to code and report must be made by the surgeon. Adhesions from previous surgery are the most common cause...
Tumor lysis syndrome (spontaneous); Tumor lysis syndrome following antineoplastic drug chemotherapy; code for adverse effect, if applicable, to identify drug (T45.1X5)
Use of CPT code 58660, 58740 and 53500. Laparoscopy procedures are used for lysis of adhesion.
ICD-10-CM Code for Peritoneal adhesions (postprocedural) (postinfection) K66. 0.
CPT CodeBrief Description58660Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate)58559Hysteroscopy with lysis of intrauterine adhesions (any method)56441Lysis of labial adhesions58740Lysis of adhesions (salpingolysis, ovariolysis)4 more rows
N73. 6 - Female pelvic peritoneal adhesions (postinfective). ICD-10-CM.
5. Laparoscopic lysis of adhesions (CPT codes 44180 or 58660) is not separately reportable with other surgical laparoscopic procedures.
You can bill the two together, but most payers will deny the lysis of adhesions inclusive per NCCI guidelines. The use of a modifier is not allowed.
Lysis of adhesions is a procedure that destroys scar tissue that's causing abdominal and chronic pelvic pain. The scar tissue typically forms after surgery as part of the healing process, but can also develop after an infection or a condition that causes inflammation, such as endometriosis.
Unless you have documentation that the lysis of adhesions is very large it is included in the exploratory code. The documentation cannot only state that the lysis was done to obtain access to the site, it must be excessive. Most times you will not get the documentation you need in order to bill this separately.
Bundled services, for which one should not separately charge when billing primary laparoscopic/robotic procedures, include CPT code 49320, diagnostic laparos- copy, and 44180 laparoscopic lysis of adhesions.
Adhesions are bands of scar tissue that can cause internal organs to be stuck together when they are not supposed to be.
An adhesion is a band of scar tissue that joins two surfaces of the body that are usually separate. The formation of scar tissue is the body's repair mechanism in response to tissue disturbance caused by surgery, infection, injury (trauma) or radiation.
The diagnosis of abdominal adhesions is typically done with the assistance of laparoscopy. This procedure involves using a camera to visualize the organs within the abdominal cavity. Routine tests such as X-rays, CT scans, and blood work are useless in diagnosing the adhesion itself.