Is it ok to code lysis of adhesions (44004, 44180, or 58660) in conjunction with a laparoscopic TAH (58570 or 58571). It does add time to the procedure that would not be necessary if the adhesions were not there. I see this on a lot of op notes and it is always documented as adhesions to omentum. The current op note that I am looking at states
"...the omentum that was adhesed to the left tube and ovary were lysed with cold Endo shears. Hemostasis was excellent. When this was done, the fallopian tube was resected from the fimbriated end through the endosalpinx to the utero ovarian ligament which was then transected across the round ligament, and most of the cardinal ligament..."
I believe that it is necessary to remove the adhesions when the TAH is performed, so it could be included, however it does take longer to do the procedure and I do not want to loose any revenue if it is ok to code it as an additional procedure. Any guidance on this would be appreciated.
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Adhesions of omentum with TAH