Results 1 to 7 of 7

Suction D&C Blighted Ovum

  1. Default Suction D&C Blighted Ovum
    Medical Coding Books
    Can someone clarify which procedure code is correct when performing a Suction D&C of a blighted ovum? I was leaning towards 59841 ( Induced abortion by dialation and evacuation).

  2. Default
    59840 is the most appropriate code . The reason is: it is an induced (abortion ) procedure by Dilation and Curettage where in curettage is mandatory. Every Blighted Ovum treatment with suction and dilation will not be complete unless curettage is done. So after dilation and suction suction, it is completed by cerettage for sure.

    This code fits for Corneous mole, and for induced abortion otherwise not classified elsewhere also.
    The code 59841 holds good for induced abortion with dilation and evacuation only.
    Thank you.

  3. Default
    We just had this question on a mock CPC exam. "Patient underwent evacuation of uterus for blighted ovum, was in her second month. The answer was 631 and 59820." Coder's desk reference says 59820 treats a missed abortion by suction curettage. 59840 says physician terminates a pregnancy.

  4. Default
    The possiblities I had been analysing were: 59820,59821 59840, 59841.
    59820 and 59840 are the filtered ones.
    59820- is for those missed abortions which were COMPLETED surgically. The word "completed" gives us an information that there was incompletness of missed abortion process before in hand( be it spontaneous or induced by any one medically or otherwise but completed surgically). The incompleteness and the vague procedure info about exact surgical procedure in the code 59820 are the criteria which leads me to the other option- 59840-- which clearly STATES that it was induced abortion by DILATION AND CURETTAGE.
    atients rarely goes for incompleteness of its own with Missed abortion/ or once the diagnosis made as missed abortion the doctors do not wait (medical necessity) for it to happen of its own /for incompleteness.

    So in this scenario, if the os was closed (usually it is the state of affair) at the time of procedure or diagnosis/ or if the doctor documented it was induced/OS CLOSED then this 59840 holds good and appropriate/or not stated that it was open or incomplete, this is the code I would assign.

    Moreover in one of the coding question from AAPC, the answer to Missed abortion with procedure D & C - was 59840, just as I mentioned earlier.

    Well, could you please post the procedural notes so that we can come up with the correct assignment for sure?

  5. Default
    Here is the description of the procedure in detail:

    Preoperative DX : Blighted Ovum

    A single tooth tenaculum was placed on the anterior lip of the cervixand for paracervical block Xylocaine was placed at 2, 4,8,10 o'clock positions. At this time Sequential Pratt dialtors were utilized to allow a #9 curved suction curette to be passed. The curette was passed until the uterine fundus was gently noted. At this time the suction curette was rotated at the top of the fundus to remove all products of conception. This was done 3 times to ensure all products have been removed form uterus. The final pass was done doing a gentle suction curettage of the uterus to note gritty texture. The suction curette was removed as well as tenaculum.

  6. Default
    No mention of bleeding .Dilation was done up to 9size dilator at least for the curette to get inside. It goes to say that the cervical os was closed / needed dilation to introduce the curette. It was an INDUCED ABORTION ( mandatorily)
    Curetting was done by sharp curette or suction curette , it was CURETTAGE.
    So, the procedure was Induced Abortion with D& C, essentially to bring the products out and to be sure there was complete evacuation. The suction was a component of the D& C here. It does not have to be reported separately or high lighted here; mostly, blighted ovum induction D& C needs suction to ensure completion.
    I would suggest strongly still for 59840.
    Thank you.

  7. #7

Similar Threads

  1. Blighted Ovum
    By C Clark CPC CEDC in forum Emergency Department
    Replies: 2
    Last Post: 02-26-2013, 02:09 PM
  2. Replies: 3
    Last Post: 02-03-2013, 12:10 PM
  3. blighted ovum
    By Jamie Dezenzo in forum OB/GYN
    Replies: 2
    Last Post: 11-12-2012, 09:23 AM
  4. Suction D & C performed on pt. with blighted ovum
    By in forum OB/GYN
    Replies: 2
    Last Post: 06-07-2012, 02:14 PM
  5. Suction D&C for Ectopic Pregnancy
    By lscott in forum OB/GYN
    Replies: 1
    Last Post: 12-15-2009, 03:34 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.