CPT^® 59856, Under Abortion Procedures

The Current Procedural Terminology (CPT^®) code 59856 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. In this service, the patient fails to abort the fetus or the placenta and the provider performs a surgical removal of the fetus and or the placenta. The provider admits the patient to the hospital, inserts the drug and cervical dilator, manages the labor that follows, and then performs the dilation and curettage. The provider then follows the patient in the hospital until discharge. Providers use this method usually after the first trimester, or fourteen weeks and zero days gestation or more.

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Have a question about CPT Code 59856 ? Start a discussion here

New Ob coder needs help

Thank you both for the replies. I'm still torn on this. The 59856 would be good if it was all done on the same day. Now I'm wondering if I should use an E/M code for the first day and 59820 on the sec... [ Read More ]

New Ob coder needs help

[b]Cheryl A Dodge, CPC[/b] If induction of 18 wk fetal demise was accomplished using prostaglandin such as cytotec with/without laminaria I would look at code 59855 or 59856 which also includes a D&C... [ Read More ]

Delivery of Fetal Demise

For a fetal demise prior to 20 weeks, use CPT code 59855 for induced abortion with vaginal suppositories or 59856 if the doctor also did a D&C and/or evacuation.... [ Read More ]

59850, 59851, 59855, 59856

[B]Medical Policy Bulletin ___________________[/B]_____________________ [B]Title: Elective Abortion[/B] Policy #: 11.06.02e ________________________________________ The Company makes decisions o... [ Read More ]

59850, 59851, 59855, 59856

These codes state "including hospital admission and visits". Does this mean these can only be used inpatient? I am coding abortion procedures in an Ambulatory Surgery Center. Thank you in advance. ... [ Read More ]

incomplete abortion tx

Just curious...59856 includes hospital admission and visits. Karen stated services were provided in the office. Is it still ok to use 59856?... [ Read More ]

incomplete abortion tx

It was an induced abortion (with cytotecs- a medical induction) and the incompleteness will not be viewed as a different condition from/or than the induced status. It is by all means an induced abort... [ Read More ]

Inducing labor for missed abortion/IUFD

We have run across a few scenarios in which a patient is diagnosed with a fetal demise between 16-20 weeks gestation. Most patients are sent to the hospital in which they induce labor utilizing cytote... [ Read More ]

fetal demise

[QUOTE="aschaeve, post: 35660, member: 33880"]One of the coder's that I work with submitted this question to The American College Of Obstetricians & Gynecologists. We received a two page response fro... [ Read More ]

help! OB delivery or abortion codes?

Here is what I was able to find for you on the OBGyn listserv for Coding 911. I use it a lot because Melanie Wtt and Jan Rasmussen are the moderators and they know their stuff. I hope this answer he... [ Read More ]

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