Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Practice Exam

CPC Practice Exam and Study Guide Package

Practice Exam

What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page

Practice Exam

2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Tag Archives: Lysis

Coding Lysis of Adhesions CPT 58740

Posted on by
Greetings,

I am inquiring about a CPT code for Lysis of Adhesions. I have been getting an issue with Blue Cross Blue Shield of Illinois when I billed the following codes:

58740
58720 (Salingo-oophorectomy) M 59
58563 (Laparoscopy with endometrial ablation) M 59

The payor processed CPT code 58720 as the primary code, however I did not send the claim in this way. Is there something I am missing?
I had another case very similar where the CPT 58740 was billed as the primary code with CPT code 58700 with a modifier 59.

Both cases I was informed CPT code 58740 was bundling against itself, which doesn’t make any sense.

Any advise in these cases would be of a great help!

Thank you!
Mark A. (COBCG CPC expected completion Aug 2019)

Medical Billing and Coding Forum

Please help lap lysis of adhesions and laparotomy…

Posted on by
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

Medical Billing and Coding Forum

CPT code Lysis for Vaginal Atresia w xylocain

Posted on by
I was wondering if the provider can charge for the manuel lysis of vaginal atresia. His note stated "2% xylocain Injected + finger used to dilate/ to cervix" This appears as all he did no cutting. The only code I can find is 56441 this seems to be "surgery" with a 10 day global. Any idea of how to charge this or would it fall under the E/M code?
Thanks

Medical Billing and Coding Forum

Epidural Lysis

Posted on by
My physician performed an Epidural Lysis and performed three injections over the course of three days. It looks like CPT code 62263 is the correct code for the percutaneous epidural adhesion. I am just not sure if I can code for the epidural injection via indwelling catheter the following 2 days. Any advice would be appreciated. Thank you.

Medical Billing and Coding Forum

Lysis of adhesions

Posted on by
Has anyone ever been paid for this procedure when billing it with another abdominal procedure? Our claims scrubber won’t even allow us to charge it when we charge another abdominal procedure.
However, my providers are frustrated that they can sometimes spend 2-5 hours on an extensive lysis of adhesions and not be paid for their extra work.
Yes, I’ve heard "just add a modifier 22 on it and provide documentation…" but seriously, has anyone ever received payment? And if so, from which insurance carriers?

Medical Billing and Coding Forum