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Lysis of adhesions, also known as salpingolysis when referring to the fallopian tubes and ovariolysis when pertaining to the ovaries, is a surgical procedure aimed at removing scar tissue that can hinder the normal function of these reproductive organs. This procedure is typically performed through an incision in the lower abdomen, allowing the surgeon to gain access to the abdominal cavity. During the operation, a thorough visual inspection of the abdominal cavity, uterus, fallopian tubes, and ovaries is conducted to identify areas of concern. The presence of adhesions, which are bands of scar tissue that can form after surgery, infection, or inflammation, can lead to complications such as infertility or chronic pain. The surgeon meticulously divides these adhesions using various techniques, including blunt or sharp dissection, laser, or electrocautery, ensuring that all scar tissue is removed to restore the mobility and function of the tubes and ovaries. To further mitigate the risk of new adhesions forming post-surgery, a synthetic protective material that gradually breaks down may be placed in the pelvic cavity. The procedure concludes with a careful inspection of the pelvic area to confirm hemostasis, followed by the closure of the abdominal incision.
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The procedure of lysis of adhesions (salpingolysis, ovariolysis) is indicated for various conditions that may affect the fallopian tubes and ovaries. These indications include:
The lysis of adhesions procedure involves several critical steps to ensure the effective removal of scar tissue. The process begins with the patient being placed under general anesthesia to ensure comfort and immobility during the surgery.
Following the lysis of adhesions procedure, patients can expect a recovery period that may vary depending on individual circumstances. Post-operative care typically includes monitoring for any signs of complications, such as infection or excessive bleeding. Patients are often advised to rest and may be prescribed pain management medications to alleviate discomfort. Follow-up appointments are essential to assess healing and discuss any further treatment options if necessary. It is also important for patients to adhere to any specific post-operative instructions provided by their healthcare provider to ensure optimal recovery and minimize the risk of new adhesions forming.
| Short Descr | ADHESIOLYSIS TUBE OVARY | Medium Descr | LYSIS OF ADHESIONS SALPINX/OVARY | Long Descr | Lysis of adhesions (salpingolysis, ovariolysis) | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 120 - Other operations on ovary |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AG | Primary physician | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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