Laparoscopic Lysis of adhesions vs Entorlysis

I have researched and I am still not clear when to use 58660 vs 44180. I am trying to code laparoscopic lysis of adhesions involving the descending colon and the proximal ascending colon. 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. I would appreciate anyone who can give me some clarity on these two codes.

re: Laparoscopic Lysis of adhesions vs Entorlysis

We always bill laparoscopic lysis of adhesions with 44180. This code is under digestive system and the 58660 is under female genital system.

re: Laparoscopic Lysis of adhesions vs Entorlysis

this is the procedure descriptions:

44180

The physician performs laparoscopic enterolysis to free intestinal adhesions. With the patient under anesthesia, the physician places a trocar at the umbilicus into the abdominal or retroperitoneal space and insufflates the abdominal cavity. The physician places a laparoscope through the umbilical incision and additional trocars are placed into the abdomen. Intestinal adhesions are identified and instruments are passed through to dissect and remove the adhesions. The trocars are removed and the incisions are closed with sutures.

58660

The physician performs a laparoscopic surgical cutting/releasing (lysis) of scar tissue (adhesions) surrounding the ovaries and/or fallopian tubes with the assistance of a fiberoptic laparoscope. The physician may first insert an instrument through the vagina to grasp the cervix and manipulate the uterus during surgery. Next, the physician makes a small incision just below the umbilicus through which a fiberoptic laparoscope is inserted. A second incision is made in the abdomen with additional instruments being placed through these incisions into the abdomen or pelvis. The physician manipulates the tools so that the pelvic organs can be observed, manipulated and lysis of adhesions can be performed. The abdomen is deflated, the trocars removed, and the incisions are closed with sutures.
Hope this helps