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CPT code-Exploratory laparotomy with routing lysis of adhesions to the uterus

Sheyla Posted Tue 10th of September, 2019 09:27:41 AM
How to bill for exploratory laparotomy with lysis of adhesion, evacuation of hemoperitoneum and control of rectus sheath bleeding. This was NOT a complication of the cesarean section the day before---this was an procedure related to a new issue (bleeding from a tear in the rectus sheath precipitated by the shrinking of her uterine size in setting of an intraabdominal adhesion causing a large intra abdominal bleed) I think I found a code which I used for reopening of laparotomy 49002 (ie her c/s) but I don't know if there is another code for exploratory laparotomy with lysis of adhesion and control of intraabdominal bleeding. Not technically enterolysis as they weren't bowel adhesions but scar tissue of uterus to anterior abdominal wall. Is there a code for removal of scar tissue or something?
SuperCoder Answered Wed 11th of September, 2019 04:04:04 AM

Hi Sheyla,

Thank you for your question. The closest code to bill for the above scenario will be 49200. However, you may append modifier 79 (Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period) to show that reopening was related to new issue. Feel free to ask for any further query. 


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