Ob-Gyn Coding Alert

Set Aside 10 CPT® Codes to Report Adhesiolysis

Although ob-gyns generally deal with lysis of adhesions in only four sites, CPT® provides ten codes for the associated procedures:44005 -- Enterolysis (freeing of intestinal adhesion) (separate procedure)44180 -- Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)50715 -- Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis50722 -- Ureterolysis for ovarian vein syndrome53500 -- Urethrolysis, transvaginal, secondary,open, including cystourethroscopy (e.g., postsurgical obstruction, scarring)53899 -- Unlisted procedure, urinary system (for adhesions involving urethra, retropubic approach)56441 -- Lysis of labial adhesions58559 -- Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method)58660 -- Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)58740 -- Lysis of adhesions (salpingolysis, ovariolysis).Important: Generally, you won't use these codes if the ob-gyn does anything else. Rationale: Payers include them in the primary procedure. 
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