Mr. Jones is a patient with recurrent stage IV colon carcinoma of the sigmoid colon. He had previously undergone a laparoscopic low anterior resection (LAR). He was brought to the operating room today and under general anesthesia underwent a laparoscopic lysis of adhesions. The small bowel loops were found to be adherent to the anterior abdominal wall and also near the colostomy. These adhesions were lysed. There was one loop of small bowel that was adherent to the anterior abdominal wall of the RLQ, and this adhesion was not disturbed. Select the appropriate ICD-10-CM and CPT code(s):

Question

Quizplus · Accepted Answer

The correct ICD-10-CM codes are K66.0 for adhesions and C18.7 for malignant neoplasm of the sigmoid colon, and the correct CPT code is 44180 for laparoscopic lysis of adhesions. The order of the ICD-10-CM codes is based on the reason for the surgery, which was primarily to address the adhesions (K66.0), with the patient's history of colon cancer (C18.7) being secondary. The CPT code 44180 specifically describes the procedure performed, which is laparoscopic lysis of adhesions.

Mr Jones Is a Patient with Recurrent Stage IV Colon