2025 CPT code 59857
Effective Date: N/A Surgery - Surgical Procedures for Maternity Care and Delivery Surgery Feed
Induced abortion, by one or more vaginal suppositories (e.g., prostaglandin) with or without cervical dilation (e.g., laminaria), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed medical evacuation).
Modifiers may be applicable depending on the specific circumstances, such as increased procedural services (22), or other relevant modifiers.
Medical necessity for this procedure must be documented based on the specific circumstances of the patient, which might include maternal health risks, fetal anomalies, or other reasons deemed appropriate by clinical guidelines and regulations.
The physician admits the patient, performs an initial history and physical, inserts the medication and cervical dilator, manages the ensuing labor, and performs the hysterotomy if the induction fails. This includes removing the fetus and placenta, controlling bleeding, suturing the incisions, and providing all post-operative hospital care.
In simple words: This procedure involves ending a pregnancy using medication inserted into the vagina to start labor, sometimes along with a device to open the cervix.If the medication doesn't work, a small cesarean-like surgery is done to remove the pregnancy.This includes hospital stay, care during labor, the surgery if needed, and all care until the patient goes home.
This code describes a procedure where a pregnancy is terminated through the use of vaginal suppositories to induce labor, potentially combined with cervical dilation.It includes scenarios where the medical induction fails, necessitating a hysterotomy (surgical incision of the uterus) to remove the fetus and placenta. The code encompasses hospital admission, management of labor, the hysterotomy procedure itself, and all related hospital care until discharge. This approach is generally used after the first trimester (14 weeks and 0 days gestation or more).
Example 1: A patient at 15 weeks gestation presents for an induced abortion. Vaginal suppositories are administered, but labor does not progress sufficiently. A hysterotomy is performed to complete the abortion., A patient at 20 weeks gestation with a medical condition requiring termination of the pregnancy undergoes induction with vaginal suppositories. After several hours, the induction fails, and a hysterotomy is performed., A patient at 16 weeks gestation opts for an induced abortion.Laminaria are placed for cervical dilation, followed by vaginal suppositories.Due to complications during induction, a hysterotomy becomes necessary.
Documentation should include the gestational age, the method of induction (medication used, cervical dilation method), the progress of labor, the indication for hysterotomy (failed induction), details of the hysterotomy procedure, and all post-operative care provided.
- Revenue Code: P1G
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital