Ob-Gyn Coding Alert

Use this modifier for nonincluded lysis -- but only in rare cases.Do you often include lysis of adhesions in the primary surgery? Truth: You can get paid separately for the lysis if the adhesions are extensive.What they are: Pelvic adhesions are bands of fibrous scar tissue that can form in the abdomen and pelvis after surgery or due to infection. Because adhesions connect organs and tissue that are normally separated, they can lead to a variety of complications, including pelvic pain, infertility and bowel obstruction. Adhesions commonly form on the ovaries, pelvic sidewalls and fallopian tubes.First, Examine Adhesiolysis CPT CodesAlthough ob-gyns generally deal with lysis of adhesions in only four sites, CPT provides six codes for the associated procedures:44005 -- Enterolysis (freeing of intestinal adhesion) (separate procedure)44180 -- Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)56441 -- Lysis of labial adhesions58559 -- Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method)58660 -- Laparoscopy, surgical; with [...]