MICHELLE1279
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I need help with coding this surgery. Laparoscopic lysis of adhesions, laparotmy, right salpingo oophorectomy. The physician completed the laparoscopic lysis of adhesions, and was going to do a salpingo oophorectomy laparoscopically, but encountered bleeding, and a developing hematoma, attempts to control w/LigaSure unsuccessfuls, therefore converted to laparotomy, removed the ovary and tube using LigaSure. I coded as sepearte procedures, 58720 dx 789.01, 58660/59 dx 614.6. We are being denied the 58660, being included in the primary procedure. I will send in appeal with notes, but does this coding seem correct? Thanks