Would this be coded as 59812, 59820 or 59840?
SUCTION DILATION AND CURETTAGE ULTRASOUND GUIDANCE
Diagnoses:
Pre-op Diagnosis
* Missed abortion [O02.1] Post-op Diagnosis
* Missed abortion [O02.1]
1. Anembryonic pregnancy (blighted ovum)
2. Declines medical management
Procedures:
SUCTION DILATION AND CURETTAGE ULTRASOUND GUIDANCE
Procedure detail:
After consents were signed and IV fluids running, patient was taken to the operating room and placed in dorsal supine position. General anesthesia was obtained and found to be adequate. Patient was repositioned into a dorsal lithotomy, using Allen type stirrups. A time-out was performed by the circulating nurse prior to the procedure. Patient was prepped and draped vaginally and in normal sterile fashion.
A weighted speculum was placed in the posterior vagina to visualize the cervix which was then grasped with a single-tooth tenaculum on the anterior cervical lip. Uterus was sounded to a depth of 7cm, and the cervix then slowly dilated to 25 French. The procedure occurred under ultrasound guidance. An 7mm curved suction curet was attached to the suction D&C system. It was then introduced through the cervix into the uterus and once pressure was noted to be 55 mmHg, it was slowly rotated to evacuate uterine contents. This was performed 2 times, then the suction curet was changed to an 8 mm for 2 more passes. The curved curet was then removed and a dull curette was introduced into the uterine cavity along all 4 quadrants to remove any remaining tissue. This tissue was also sent along with the products of conception that were obtained with suction. The curved curet was introduced once more into the uterine cavity to remove any remaining debris. Minimal bleeding was noted at the end of the procedure. The tenaculum was removed from the anterior cervical lip and noted to be hemostatic. Therefore all instruments removed from the vagina at this time. Sponge lap and needle counts were correct for all counts. The patient tolerated the procedure well and was taken to recovery room in stable condition.
SUCTION DILATION AND CURETTAGE ULTRASOUND GUIDANCE
Diagnoses:
Pre-op Diagnosis
* Missed abortion [O02.1] Post-op Diagnosis
* Missed abortion [O02.1]
1. Anembryonic pregnancy (blighted ovum)
2. Declines medical management
Procedures:
SUCTION DILATION AND CURETTAGE ULTRASOUND GUIDANCE
Procedure detail:
After consents were signed and IV fluids running, patient was taken to the operating room and placed in dorsal supine position. General anesthesia was obtained and found to be adequate. Patient was repositioned into a dorsal lithotomy, using Allen type stirrups. A time-out was performed by the circulating nurse prior to the procedure. Patient was prepped and draped vaginally and in normal sterile fashion.
A weighted speculum was placed in the posterior vagina to visualize the cervix which was then grasped with a single-tooth tenaculum on the anterior cervical lip. Uterus was sounded to a depth of 7cm, and the cervix then slowly dilated to 25 French. The procedure occurred under ultrasound guidance. An 7mm curved suction curet was attached to the suction D&C system. It was then introduced through the cervix into the uterus and once pressure was noted to be 55 mmHg, it was slowly rotated to evacuate uterine contents. This was performed 2 times, then the suction curet was changed to an 8 mm for 2 more passes. The curved curet was then removed and a dull curette was introduced into the uterine cavity along all 4 quadrants to remove any remaining tissue. This tissue was also sent along with the products of conception that were obtained with suction. The curved curet was introduced once more into the uterine cavity to remove any remaining debris. Minimal bleeding was noted at the end of the procedure. The tenaculum was removed from the anterior cervical lip and noted to be hemostatic. Therefore all instruments removed from the vagina at this time. Sponge lap and needle counts were correct for all counts. The patient tolerated the procedure well and was taken to recovery room in stable condition.