CPT^® 59855, Under Abortion Procedures

The Current Procedural Terminology (CPT^®) code 59855 as maintained by American Medical Association, is a medical procedural code under the range - Abortion Procedures.

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Summary

In this global procedure, the provider terminates a pregnancy by inserting vaginal suppositories to induce labor contractions and may also insert a laminaria to dilate the cervix. The provider admits the patient to the hospital, inserts the drug and cervical dilator, manages the labor that follows, and delivers the fetus and placenta. The provider then follows the patient in the hospital until discharge. Providers use this method usually after the first trimester, or fourteen weeks, zero days gestation or more.

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Have a question about CPT Code 59855 ? Start a discussion here

Fetal Demise at 18 weeks

[QUOTE="COG2022, post: 508044, member: 805112"] One of our physicians had a patient deliver at 18 weeks vaginally. This was not an induced labor, the physician was there for the delivery. Everything... [ Read More ]

Fetal Demise at 18 weeks

Hello, I am new to OBGYN. I would like to add that in order to even bill for 59855-induced abortion, ACOG advised me that VAGINAL suppositories must be given. From that moment, I pay attention to this... [ Read More ]

Fetal Demise at 18 weeks

Hi, by this was not an induced labor, you mean it was spontaneous labor, ie a spontaneous abortion? Can you provide more information about the situation? If the patient came in in labor and delivere... [ Read More ]

Fetal Demise at 18 weeks

One of our physicians had a patient deliver at 18 weeks vaginally. This was not an induced labor, the physician was there for the delivery. Everything I am reading online is indicating to bill 59855... [ Read More ]

Coding Induced Abortion at 18 weeks withmisoprostol

[QUOTE="natashalage, post: 505646, member: 433929"] Hmm.. I am a new coder to OBGYN and I had a similar case. I asked ACOG how it should be coded and they replied E/M + 59414 placenta. Do you think th... [ Read More ]

Coding Induced Abortion at 18 weeks withmisoprostol

Hmm.. I am a new coder to OBGYN and I had a similar case. I asked ACOG how it should be coded and they replied E/M + 59414 placenta. Do you think the answer is based on the Reason for induced delivery... [ Read More ]

OB/GYN Coding Question

[QUOTE="Lb6731@hotmail.com, post: 504539, member: 500864"] Would placement of 800 mcg of cytotec in the posterior vaginal fornix , in office, be submitted as 59855 or just an ov code? This was done du... [ Read More ]

OB/GYN Coding Question

Would placement of 800 mcg of cytotec in the posterior vaginal fornix , in office, be submitted as 59855 or just an ov code? This was done due to on TVUS, there is an empty compressed sac at the upper... [ Read More ]

CPT 59855

Good morning all! I am working A/R from 2019 and came across a MEDICAID claim I believe should be adjusted. The patient had a fetal demise at 19 weeks gestation and the code that was submitted was 59... [ Read More ]

20 wks fetal demise with delivery

[QUOTE="selenakfrank, post: 493590, member: 497175"] I am needing some clarification on how to code fetal demise with delivery for 20 wks + 5 days. Pt was given cytotec, and delivered stillborn, no fe... [ Read More ]

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