2025 CPT code 59851
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures for Maternity Care and Delivery Surgery Feed
Induced abortion using intra-amniotic injections, including hospital admission, visits, delivery, and dilation and curettage.
Modifiers may be applicable depending on the circumstances of the service provided.Refer to the CPT manual for appropriate modifier application.
Medical necessity for an induced abortion is typically established based on the patient's informed consent and the physician's clinical judgment in managing complications of pregnancy or in cases where the pregnancy poses risks to the patient's health or well-being.Specific requirements may vary depending on state laws and payer guidelines.
The physician is responsible for all aspects of the procedure, from pre-operative preparation and injection of the saline solution into the amniotic sac, monitoring labor, performing the D&C, post-operative care and discharge planning.
In simple words: This code covers a procedure to end a pregnancy. It involves injecting a solution into the amniotic sac to start labor, followed by a hospital stay, the delivery of the baby and placenta, and a cleaning procedure in the uterus.All care until discharge is included.
This code represents the global procedure of induced abortion achieved through one or more intra-amniotic injections (amniocentesis-injections).The procedure encompasses hospital admission, monitoring of the patient, management of labor following the injections, delivery of the fetus and secundines, and a dilation and curettage (D&C) to remove remaining products of conception.Post-operative care and discharge are included in this global service.This method is typically used after the first trimester (14 weeks 0 days gestation or more).
Example 1: A 16-week pregnant patient presents for induced abortion. The physician performs the procedure as described in the long description, including hospital admission and post-operative care. Code 59851 is reported., A patient at 20 weeks gestation is admitted for an induced abortion. The procedure includes intra-amniotic saline injection, labor management, fetal and secundines delivery, and D&C. Code 59851 accurately reflects the comprehensive service provided., A patient presents with a missed abortion at 18 weeks gestation. Following an ultrasound confirming the diagnosis, the physician chooses to induce labor via intra-amniotic saline injection. This is followed by D&C and all post operative care. Code 59851 is used.
* Patient history, including gestational age, reason for abortion, and any relevant medical history.* Documentation of the procedure, including the type and amount of saline solution used, method of injection (ultrasound guidance), management of labor, delivery of the fetus and secundines, and performance of the D&C.* Complete hospital records, including all vital signs, medications administered, and any complications encountered.* Informed consent documentation.
** This procedure is less frequently performed today due to advancements in medication to induce labor.The use of saline solution for induced abortion carries risks, and alternative methods are often preferred.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital