An exploratory laparotomy in which the adhesions are not impacting the small bowel is generally coded as 49000. If the small bowel is affected, the code 44005 may be used instead.
a laparoscopic cholecystectomy (gall bladder removal),
The CPT code for lysis of adhesions is typically 44005 for laparoscopic procedures and 44020 for open procedures. It is important to verify the specific details of the procedure being performed to accurately assign the appropriate code for billing purposes.
The laparoscopic procedure would not be preferred in cases where the gallbladder is so inflamed that it could rupture, or when adhesions (additional fibrous bands of tissue) are present.
Spleen removal is called an open splenectomy or a laparoscopic splenectomy, depending upon how it is performed.
Removal of uterus.cervix and both fallopian tubes. It is likely that you will have an oopherectomy (removal of ovaries) if you have a slpingectomy.
For a diagnostic laparoscopy with possible exploratory laparotomy for lysis of adhesions and possible ovarian cystectomy, you would typically use CPT code 49320 for the diagnostic laparoscopy and may also include 58140 for the ovarian cystectomy if performed. If an exploratory laparotomy is necessary, you would use the appropriate code for that procedure, such as 49000, depending on the specifics of the surgery. It's important to document all procedures performed for accurate coding.
Abdominal or pelvic adhesions can be diagnosed through imaging tests like ultrasound, MRI, or CT scans. Laparoscopy, a minimally invasive surgical procedure, can also be used to directly visualize and diagnose adhesions in the abdomen or pelvis. Symptoms such as chronic abdominal pain, bloating, or changes in bowel patterns may prompt further investigation for adhesions.
Urethrolysis is the medical term meaning surgical removal of urethral adhesions.
Removal of all or part of the sigmoid colon using minimally invasive surgery.
abdominal adhesions intestinal adhesions intraperitoneal adhesions pelvic adhesions intrauterine adhesions or Asherman's syndrome.
may be removed by either traditional open abdominal or pelvic surgery or by laparoscopic surgery. In the latter technique the laparoscope includes a laser for destroying the tissue with heat.