Ob-Gyn Coding Alert
Reader Question:
Rely on Mod 22 For Lysis of Adhesions in this Case
Published on Mon Sep 05, 2011
Question: My ob-gyn treated a patient with a right tubal pregnancy with hemoperitoneum. I have 59151 for tubal pregnancy. Can I bill 58660 for the lysis of adhesions? What code should I bill for evacuation?
Vermont Subscriber
Answer: You should only report 59151 (Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy). If the adhesions were significant additional work and your ob-gyn documents that well, you should go with modifier 22 (Increased procedural service) appended to 59151. Clearing out blood is just part of the procedure.
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