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

K66.0 is the ICD-10-CM code for adhesions, which were addressed during the laparoscopic lysis of adhesions. C18.7 is the code for malignant neoplasm of the sigmoid colon, which is relevant due to the patient's history of colon carcinoma. 44180 is the CPT code for laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure), which accurately describes the procedure performed.

Jones Is a Patient with Recurrent Stage IV Colon Carcinoma