Ob-Gyn Coding Alert

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 fibrosis - 50722 -- Ureterolysis for ovarian vein syndrome - 53500 -- 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 adhesions - 58559 -- 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, says Rachel Hollis, CPC, billing manager for Galisteo OB GYN Associates in Sante Fe, N.M. Rationale: -They are included in the primary procedure,- she [...]