2025 CPT code 59130
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures for Maternity Care and Delivery Surgery Feed
Surgical treatment of ectopic pregnancy; abdominal pregnancy.
Modifiers may apply depending on the circumstances of the procedure (e.g., 59 for distinct procedural service, 22 for increased procedural services, 78 or 79 for unplanned return to OR).
Medical necessity for this procedure is established when a diagnosis of an ectopic pregnancy in the abdominal cavity is confirmed through appropriate diagnostic testing and the patient exhibits symptoms such as acute abdominal pain, vaginal bleeding, or hemodynamic instability. The procedure is necessary to prevent life-threatening complications such as hemorrhage or rupture of the ectopic pregnancy.
The physician is responsible for all aspects of the procedure, from pre-operative preparation and anesthesia administration to the surgical removal of the ectopic pregnancy, post-operative care, and management of any complications. This includes assessment of the patient's condition, surgical technique, and post-operative monitoring.
In simple words: The doctor removes a pregnancy that's growing outside the uterus (in the abdomen) through a cut in the belly. This involves giving anesthesia, removing the baby and related tissues, and closing the incision.The doctor monitors the remaining tissue after the surgery.
This procedure involves the surgical removal of an ectopic pregnancy located in the abdominal cavity via an abdominal incision.The procedure includes placing the patient in the supine position, administering general anesthesia, incising the lower abdomen, exploring the pelvic cavity to locate the ectopic pregnancy and bleeding, removing the fetus and membranes, ligating the umbilical cord near the placenta (leaving the placenta in place unless it's attached to the tube, ovary, or broad ligament to avoid life-threatening hemorrhage), performing an abdominal lavage (washing out the abdomen with saline), and closing the abdominal incision with sutures. Post-operative care includes monitoring the retained placenta (allowing it to shrivel naturally, using methotrexate to hasten shrinkage, or performing arterial embolization if necessary).
Example 1: A 30-year-old woman presents with severe abdominal pain and vaginal bleeding.Ultrasound reveals an ectopic pregnancy in the abdominal cavity. The patient undergoes laparotomy for removal of the ectopic pregnancy and subsequent monitoring for complications such as hemorrhage., A 25-year-old woman with a history of tubal ligation experiences severe lower abdominal pain.Diagnostic imaging confirms an abdominal ectopic pregnancy.The patient undergoes laparotomy and the ectopic pregnancy is successfully removed. Post-operative care includes close monitoring for bleeding and potential infection., A 35-year-old woman presents with acute abdominal pain.She has a history of infertility treatments.Diagnostic imaging shows an abdominal ectopic pregnancy with significant hemorrhage.The patient undergoes emergency laparotomy for removal of the ectopic pregnancy and blood transfusion. Post-op care will include close monitoring for infection and other complications.
Complete medical history, physical examination findings, relevant laboratory results (including beta-hCG levels), imaging studies (ultrasound, MRI), operative report detailing the procedure performed, post-operative progress notes, and any complications encountered.
** This code is specific to abdominal ectopic pregnancies.Ectopic pregnancies in other locations (tubal, ovarian, cervical) have different CPT codes.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, General Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center