What cpt code do you use for a diagnostic laparoscopy with possible exploratory laparotomy for lysis of adhesions and possible ovarian cystectomy?

For a diagnostic laparoscopy with possible exploratory laparotomy for lysis of adhesions and possible ovarian cystectomy, you would typically use CPT code 49320 for the diagnostic laparoscopy and may also include 58140 for the ovarian cystectomy if performed. If an exploratory laparotomy is necessary, you would use the appropriate code for that procedure, such as 49000, depending on the specifics of the surgery. It's important to document all procedures performed for accurate coding.