2025 CPT code 59812

Treatment of incomplete abortion, any trimester, completed surgically.

Refer to CPT guidelines for coding surgical treatment of spontaneous and incomplete abortions.Modifier 22 may be appended if substantially greater work than usual is required (e.g., in later trimesters).

Modifiers may be applicable. For example, modifier 22 may be appropriate if significantly more work than usual is required.

Medical necessity for this procedure is established by the presence of an incomplete abortion with retained products of conception, posing a risk of complications such as hemorrhage or infection.

The physician is responsible for the complete management of the patient undergoing the procedure.This includes pre-operative evaluation, obtaining informed consent, performing the surgical procedure, post-operative care, and managing any complications.

In simple words: This procedure is performed when a miscarriage doesn't fully expel all pregnancy tissue. The doctor removes the remaining tissue surgically through the vagina to prevent complications.

This code describes the surgical treatment of an incomplete abortion, regardless of the trimester.The procedure involves removing retained products of conception (POC) from the uterus after a miscarriage has begun but has not fully expelled all tissue.This typically involves dilation of the cervix and evacuation of the uterine contents using suction or other instruments.

Example 1: A patient presents in the first trimester with an incomplete miscarriage confirmed by ultrasound.She undergoes a surgical dilation and evacuation (D&E) procedure to remove the retained POC., A patient in her second trimester experiences a miscarriage at home.She presents to the emergency room with continued bleeding and an ultrasound shows retained POC.She undergoes a D&E., A patient undergoes medical termination of pregnancy but the process is incomplete, requiring a surgical D&E to remove the remaining tissue.

Documentation should include ultrasound findings confirming incomplete abortion, details of the surgical procedure performed, estimated blood loss, and any complications encountered.

  • Specialties:Obstetrics and Gynecology
  • Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center
** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.