This is not a separate procedure as you will only need the one code 58672 because it essentially is code 58660 with fimbroplasty.
So basically it is:
58660-Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)-here means this code can be a separate procedure
indent meaning the 1st code the parent code meaning is included
58672-
WITH Fimbroplasty
so technically code 58672 is saying
Laparoscopy, surgical; with lysis of adhesions WITH Fimbroplasty
Parentheses are used in both the Alphabetic Index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the
code number to which it is assigned. Terms within the
parentheses are referred to as nonessential modifiers (salpingolysis, ovariolysis)
You can always identify a designated “separate procedure” by the parenthetical inclusion of (separate procedure) at the end of a CPT code description (e.g. 29870 Arthroscopy, knee, diagnostic, with or without synovial biopsy
(separate procedure)). A separate procedure designation identifies a procedure that may be performed independently or as part of a more extensive procedure, depending on the circumstances.
CPT® Surgery Guidelines state:
Some of the procedures or services listed in the CPT® codebook that are commonly carried out as an integral component of a total service or procedure have been identified by the inclusion of term “separate procedure.” The codes designated as “separate procedure” should not be reported in addition to the code for the total procedure or service of which it is considered an integral component.
In lay terms, this means:
- If a separate procedure is performed during a more extensive procedure in which it is typically included, it is not separately reported.
- If a “separate procedure” is performed alone, or with another procedure of which it typically is not a part, it may be separately reported.
