kmartinez
Networker
I am not sure whether to bill only the Laparoscopy with lysis of adhesions. Or also bill the laparotomy.
Patient underwent surgery for removal of a cyst. But doctor never saw a cyst, and performed lysis of adhesions.
Summary of doctors op report:
"Upon laparoscopic evaluation, the patient was noted to have adhesions of the omentum...No obvious cystic structure was able to be seen...Decision was made to discontinue the laparoscopy at this point. A 0.5 suprapubic incision had been made and a grasper was placed through this incision as well and after manipulation of the contents and the inability to successfully identify the cyst within the right lower quadrant, decision was made to discontinue the procedure at this time...All instruments were removed from the abdomen. The CO2 gas was allowed to escape into the air and the incisions were closed...
KAM
Patient underwent surgery for removal of a cyst. But doctor never saw a cyst, and performed lysis of adhesions.
Summary of doctors op report:
"Upon laparoscopic evaluation, the patient was noted to have adhesions of the omentum...No obvious cystic structure was able to be seen...Decision was made to discontinue the laparoscopy at this point. A 0.5 suprapubic incision had been made and a grasper was placed through this incision as well and after manipulation of the contents and the inability to successfully identify the cyst within the right lower quadrant, decision was made to discontinue the procedure at this time...All instruments were removed from the abdomen. The CO2 gas was allowed to escape into the air and the incisions were closed...
KAM