tci Part B Insider - 2011 Issue 30

Part B Coding Coach: Tighten up Your Adhesiolysis Coding Knowledge With These 5 Tips

Key: Your ob-gyn's documentation must emphasize the unusual difficulty.If you've ever coded an ob-gyn chart, you're likely to have encountered a claim for lysis of adhesions, which can be a puzzling scenario when it comes to coding. You can ethically report lysis of adhesions with your obgyn's primary surgery, either with a specific code or with modifier 22, in these situations:1. The lysis of adhesions is extensive. Words to look for in the record might include "very difficult," "unusually difficult," and so on.2. The adhesions are in a different anatomic site from the main procedure(s)...

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