Nicole Posted Thu 21st of July, 2016 11:29:10 AM
My provider performed an exploratory laparoscopy with lysis of adhesions and during the same session he also aspirated the gallbladder, Is there a separately reportable code for the aspiration or would this be inclusive with the 44180? I saw the 47490 but there is no catheter placement, the fluid is just aspirated and then puncture site is closed after.
SuperCoder Answered Fri 22nd of July, 2016 07:22:15 AM
It will not be correct to say that we will use 44180 for lysis of adhesions, if we are not sure about the main procedure performed. Because sometimes lysis is included in main procedure as per CCI edits. Please provide some more details regarding the procedure and diagnosis, so that we can come to better conclusion and come up with appropriate CPT code.
Just an example: If we use 49322 for aspiration and 44180 for lysis of adhesions, then as per CCI edit 44180 is included in 49322. Thank you.