Wiki evacuation of uterus

[house]

Our patient had a spontaneous abortion and was scheduled for a D & C, but started passing tissue so surgery was cancelled. Two days later she came into the office, and during the exam the doctor removed some additional tissue with a ring forcep and was sent to pathology. The cervix was already dilated. I can not locate an accurate code for this procedure. I have looked at 58100 but not sure if this is correct. Thanks for any help!!!!

 

[trose45116]

can you post what the notes state

 

[amjordan]

I don't believe that 58100 would be correct. How far along was she and what does the procedure note and pathology say?

 

[house]

The patient was 10.3 weeks and the report stated exam today revealed a clot w/sml poc in uterus. The path report also stated poc. Thanks!!