You Be the Coder:
Here is How to Define 'Elective' Abortion
Published on Thu Sep 13, 2012
Question: Is 59855 for an elective abortion? It's hard for me to imagine that if a fetus is found to have abnormalities and will die as soon as delivered that it is inevitable not to go with this code and call it an elective abortion.Georgia SubscriberAnswer: The term "elective" abortion means the patient makes the decision whether to abort. The CPT® codes do not make this distinction. They only indicate if the abortion happened by artificial means or the patient's body rejected the pregnancy by itself. Code 59855 (Induced abortion, by one or more vaginal suppositories [e.g., prostaglandin] with or without cervical dilation [e.g., laminaria], including hospital admission and visits, delivery of fetus and secundines) simply means that the patient was not in labor, and for whatever reason, the ob-gyn put her into labor so she could deliver the fetus. In most cases, the fetus is of an age that it [...]