From what I have read, if a tear or laceration of an adjacent organ is unavoidable due to excessive adhesions for example, and is documented as such in the operative report it should be considered intrinsic to the procedure and not coded as a complication. However the coders I work with disagree. Also "some indication in the documentation that it is a complication" is very vague and open to different interpretations.
I would appreciate input on this subject. Thank You, Julie