Cpt code 58660. CPT code 58660 & 58740 : lysis of Adhesions Coding.

Cpt code 58660 For example, if a provider performs enterolysis in conjunction with a procedure like salpingolysis or ovariolysis, they should instead use CPT code 58660. The Medicare Physician Fee Schedule (MPFS) provides the framework for determining the reimbursement rates for this procedure. I want a 2nd opinion. We utilize a standardized language, known as CPT codes, to represent the services provided by healthcare professionals. The insurance should not have paid separately for 58660 in the first place. Because Beatrice's uterus was less than 250 g and a bilateral salpingo-oophorectomy also was performed, Dr. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the Mar 13, 2018 · According to the 2018 OB/GYN coding companion CPT code 58661 is the laparoscopic removal of ADNEXAL STRUCTURES ie: ovary and or fallopian tubes (partial or total). Per the CPT® and the Coders Desk reference you are billing for two laparoscopic procedures which is double billing. HCPCS/CPT codes include all services usually performed as part of the procedure as a standard of medical/surgical practice. When would it be appriopriate to break out? Thanks! ;) The Current Procedural Terminology (CPT ®) code 58661 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Oviduct/Ovary. Apr 3, 2015 · re: Can 59812 58660 49322 be billed together? I think you are billing for an incorrect procedure 49322. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the . i would not use 49320 because that is just a diagnostic scope and your doc did perform some surgical procedure. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the normal movement of the What is CPT Code 58660 CPT code 58660 is used to describe a surgical procedure performed via laparoscopy that involves the lysis, or breaking down, of adhesions affecting the fallopian tubes (salpingolysis) or ovaries (ovariolysis). Review description and fee schedules for CPT Code 58660, intended for Surgery, and compare rates across different payers. In 58660 the provider is again performing a laparoscopc surgical cutting Jan 28, 2020 · 58660 is a column 2 (never allowed) CCI edit for both 58661 and 58662. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the Nov 15, 2025 · AMA CPT ® Assistant - 2011 Issue 12 (December) Surgery: Female Genital System (Q&A) (December 2011) December 2011 page 16a Surgery: Female Genital System Question: Is code 58660 to be used only for adhesiolysis of the ovaries and fallopian tubes or more broadly for pelvic adhesiolysis? For example, during a laparoscopic procedure, a surgeon performs extensive lysis of omental adhesions from Sep 27, 2025 · CPT code 58760 is used for patients with adhesions around the fimbriae of the fallopian tube causing obstruction or infertility. Both 58662 and 58350 are reported together. Code 49320 is permanently bundled and you may not use a modifier to bypass the edit. CPT Code 58660 CPT 58660 describes laparoscopy, surgical with lysis of adhesions (salpingolysis, ovariolysis) as a separate procedure. i would be inclined to use either that code or 58662. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the CPT Knowledgebase - Feb 3, 2012 Is code 58660 to be used only for adhesiolysis of the ovaries and fallopian tubes or more broadly for pelvic adhesiolysis? For example, during a laparoscopic procedure, a surgeon performs extensive lysis of omental adhesions from the abdominal wall. I would code this as: 58662 58661-XU-RT While the 58661 is not an edit, many carriers do want to Can CPT code 58662 and 58661 be billed together? Code 58660 is a column 2 code for 58662, These codes cannot be billed together in any circumstances. Vignettes are reviewed annually and updated when necessary. I don't see time listed here, but if there was more detailed information about how much more difficult this surgery was, a modifier -22 might get you a higher reimbursement. 1 day ago · Lysis of adhesions The article “To lyse or not to lyse adhesions,” published in the AHA’s Coding Clinic for HCPCS, Fourth Quarter 2018 newsletter, provided coding advice in two Q&A’s stating that lysis of adhesions (58660) should be additionally reported with other laparoscopic surgical codes (58661, 58662). Question: The reader question Billing Multiple Procedures from April 2002 indicates that billing 58673, 58662, 58660 and 58350 together is OK. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the Nov 3, 2023 · 58660 would be the only thing you can bill in this instance. Thanks Although you can bill them all together, expect to get a denial on the 58660. Similarly, all CPT, ICD-10 and HCPCS codes are supplied for informational purposes only and represent no statement, promise, or guarantee by Ethicon that What is CPT Code 58660 CPT code 58660 is used to describe a surgical procedure performed via laparoscopy that involves the lysis, or breaking down, of adhesions affecting the fallopian tubes (salpingolysis) or ovaries (ovariolysis). How To Use CPT Code 58660 CPT 58660 refers to the laparoscopic surgical procedure involving the lysis of adhesions, specifically salpingolysis and ovariolysis, performed as a separate procedure. Aug 19, 2024 · The Current Procedural Terminology (CPT) code range for Surgical Procedures on the Oviduct/Ovary 58600-58770 is a medical code set maintained by the American Medical Association. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the What is CPT Code 58660 CPT code 58660 is used to describe a surgical procedure performed via laparoscopy that involves the lysis, or breaking down, of adhesions affecting the fallopian tubes (salpingolysis) or ovaries (ovariolysis). All surgical procedures require the hands of a surgeon to perform a careful evaluation of the general surgical site. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the CPT code 58660 is used to describe a surgical procedure performed via laparoscopy that involves the lysis, or breaking down, of adhesions affecting the fallopian tubes (salpingolysis) or ovaries (ovariolysis). Nov 14, 2025 · CPT® Code 58660 in section: Laparoscopy, surgicalCPT® Vignettes illustrate code use through sample patient examples. Therefore, they must accurately visualize the surgical site’s anatomic structures and areas. Learn about CPT code 58660, laparoscopic lysis of adhesions on fallopian tubes or ovaries, for enhance billing process. This guide covers billing tips, documentation requirements, and common reimbursement issues associated with this procedure. Every code, like CPT code 58660, possesses unique nuances and specific requirements. Should code 58660 or code 49329 be reported? To view the Official AMA answer and 1000s more like this: The Current Procedural Terminology (CPT ®) code 58662 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Oviduct/Ovary. A provider/supplier shall not report multiple HCPCS/CPT codes if a single HCPCS/CPT code exists that describes the services. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the Nov 22, 2011 · Can you bill 58558, 58660 and 49322? Everything I have found says you can and it isn't bundled. Dec 3, 2015 · Per the CPT Assistant (Q&A December 2011): while code 58660, Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure), involves endoscopic inspection and evaluation of the abdomen and pelvis, it represents uterine adnexal (ie, fallopian tubes, ovaries functionally and structurally adjacent to the Beatrice's surgery. What is CPT Code 58660 CPT code 58660 is used to describe a surgical procedure performed via laparoscopy that involves the lysis, or breaking down, of adhesions affecting the fallopian tubes (salpingolysis) or ovaries (ovariolysis). CPT provides several codes for reporting a vaginal hysterectomy (Table 1), depending on the weight of the uterus and the performance of additional associated procedures. HIPAA-compliant interface. How To Use CPT Code 58976 This Content Might Be Outdated - Check in Our Free Code Lookup Tool Medical codes change frequently, and using outdated information can lead to denials. Securely connected with EHR. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the CPT 58660 coding for laparoscopic adhesiolysis with documentation, modifier, and billing guidance for OBGYN providers. 05-Apr-2019 What is the CPT code for laparoscopic lysis of adhesions? 30/05/2020 · Besides, what is the ICD 10 code for lysis of adhesions? What is CPT Code 58660 CPT code 58660 is used to describe a surgical procedure performed via laparoscopy that involves the lysis, or breaking down, of adhesions affecting the fallopian tubes (salpingolysis) or ovaries (ovariolysis). Ensure you're working with the most up-to-date version of CPT Code 58976 by opening it in our free code lookup tool. 2023 Adhesions ReimbursementGuide The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Ethicon concerning levels of reimbursement, payment, or charge. If the lysis of adhesions are significant (> 1 hour) and described in the op note, I bill the primary procedure with -22 modifier and prepare an appeal letter. If the lysis of adhesions is extensive, and documented as such, then sometimes -22 is warranted on the main procedure. Where appropriate, there are also Pre- and Post-service descriptions. CPT Code 58661 CPT 58661 describes laparoscopic surgical removal of partial or total oophorectomy and/or salpingectomy of adnexal structures. The Current Procedural Terminology (CPT ®) code 58660 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Oviduct/Ovary. Also Know, does CPT code 58661 need a modifier? Search all medical codes 58660 Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) CPT4 code Name of the Procedure: Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) Common Name (s): Laparoscopic Adhesiolysis, Salpingolysis, Ovariolysis Summary May 7, 2022 · In the realm of medical coding, accuracy is paramount. Each code was done on a separate side and 58660 is not getting paid due to NCCI. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the Aug 19, 2008 · Per CCI 58350 (Chromotubaton) is bundled into 58662. 300-400 new vignettes are added each year Below is a list summarizing the CPT codes for laparoscopic procedures on the oviduct/ovary. CPT Code 58662 CPT 58662 Oct 29, 2014 · My doctor wants 58660,59 coded with 58661 on an extensive surgical procedure. Dec 8, 2009 · Hi, regarding whether to use 49320 vs 58660. CPT code 58660 & 58740 : lysis of Adhesions Coding. This type of unbundling is incorrect coding. Additionally, if the enterolysis is performed alongside an unrelated procedure, the provider may append modifier 59 to indicate that it is a distinct procedural service. This procedure is performed by a laparoscope. The largest context AI for medical coding. Jun 22, 2025 · CPT Code 58661 refers to laparoscopic removal of adnexal structures such as the ovary, fallopian tube, or both. Every vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service. After going to my coding articles it points me to 58660 but when I go to my coding companion it states (salpingolysis and ovariolysis) The adhesions our physician removed involved colon. Lysis of adhesions indicates freeing/eliminating scar tissue. The 58660 Lysis of adhesions is a separate procedure, so it is generally considered included when you do another laparoscopic procedure. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the normal movement of the Aug 23, 2022 · What is procedure code 58660? CPT® 58660, Under Laparoscopic Procedures on the Oviduct/Ovary. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the Review description and fee schedules for CPT Code 58660, intended for Surgery, and compare rates across different payers. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the Jun 18, 2020 · We are receiving refund request for cpt codes 58660 bundled with 58662 58660 bundled with 58661 Mar 3, 2015 · I am trying to code laparoscopic lysis of adhesions involving the descending colon and the proximal ascending colon. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the CPT code for lysis of adhesions are included in this article. Lysis of adhesions are mostly included in the laparoscopic procedure. The CPT code 58660 is reimbursed by Medicare, but its reimbursement is subject to specific conditions and guidelines. CPT 58660 coding for laparoscopic adhesiolysis with documentation, modifier, and billing guidance for OBGYN providers. CPT Code For Lysis Of Adhesions Description The Global May 1, 2001 · OB-GYN Coding Alert Coding Q & A: Get Expert Advice to Your Most Challenging Ob-Gyn Questions Laparoscopy Question: When billing a diagnostic laparo-scopy with lysis of adhesions (58660) along with a laparoscopy with aspiration of a cyst (49322), should the second procedure have a modifier -51 or a modifier -59? Alabama Subscriber Answer: The most extensive procedure is always listed first on What is CPT Code 58660 CPT code 58660 is used to describe a surgical procedure performed via laparoscopy that involves the lysis, or breaking down, of adhesions affecting the fallopian tubes (salpingolysis) or ovaries (ovariolysis). Arragon reported CPT code 58262 (Figure 1). addendum: i did some further research and the 58660 seems appropriate. Is this a simple fix and can I just use LT and RT modifiers? Jul 9, 2021 · 58660 for the lysis of adhesions is a NCCI column 2 edit for both 58661 and 58662. May 1, 2003 · However, if the adhesions were extensive and the extra time the physician spent in removing them is well documented, you can either bill the lysis separately using code 58660-59-51 (to indicate it was a distinct, multiple procedure) or you can add modifier -22 (unusual procedure) to code 58662 to indicate extensive additional work. CPT code 58660 is used to describe a surgical procedure performed via laparoscopy that involves the lysis, or breaking down, of adhesions affecting the fallopian tubes (salpingolysis) or ovaries (ovariolysis). Basically, lysis of adhesions is included in almost all surgeries, whether laparoscopic or open. Adhesions are bands of scar tissue that can form after surgery or due to conditions like endometriosis, and they can cause pain or infertility by restricting the normal movement of the Dec 1, 2002 · Determine how you would code this situation before looking at the box below for the answer. 58660 looks like it involves the tubes and ovaries. 49322 is for the aspiration of an ovarian cyst single or multiple or to collect fluid for culture. The Current Procedural Terminology (CPT®) code 58660 as maintained by American Medical Association, is a medical procedural code under the range – Laparoscopic Procedures on the Oviduct/Ovary. Jul 23, 2012 · re: 58661 and 58660 No, the "separate procedure" designation means if lysis was performed in connection with removal of adnexal structures, only code 58661 is billed. Code 58660 is bundled into code 58662 Code 58660 cannot be billed with 58662. In one click and a few seconds, get accurate ICD, CPT, and HCPCS codes with ROI-optimized Modifiers and prior authorization tips. The adhesion sometimes increases the physician work. Does CPT code 58661 include lysis of adhesions? The CPT codes for these procedures are categorized based on the specific surgical actions performed, such as lysis of adhesions, removal of adnexal structures, and lesion excision. xlta jlc eddqks ewag uqzp snvecf sks ysqvkno ndt ptafwc fbjpjh tgmn ohdy fhtvtj rxoquopd