CPT code for cervical cerclage removal serves as a pivotal element in the intricate tapestry of medical coding, providing a standardized framework for accurate and efficient communication between healthcare providers and insurance companies. This code holds immense significance in ensuring appropriate reimbursement for the removal of a cervical cerclage, a surgical procedure designed to prevent preterm birth.

Delving into the complexities of this code, we embark on an exploration of its assignment, modifiers, and appropriate usage. Furthermore, we delve into the intricacies of documentation, highlighting its importance and providing a comprehensive template to ensure accurate and compliant records.

Procedure Details

A cervical cerclage removal procedure is performed to remove a cervical cerclage, which is a suture placed around the cervix to prevent premature birth. The procedure is typically performed in the second trimester of pregnancy, after the risk of preterm birth has passed.

The procedure is performed in a doctor’s office or outpatient surgery center. The patient is given a local anesthetic to numb the area around the cervix. The doctor then uses a speculum to visualize the cervix and remove the cerclage using scissors or a laser.

There are two main types of cervical cerclages: transvaginal and transabdominal. Transvaginal cerclages are placed through the vagina, while transabdominal cerclages are placed through the abdomen. Transvaginal cerclages are typically removed in the doctor’s office, while transabdominal cerclages are typically removed in the operating room.

CPT Code

The CPT code for cervical cerclage removal is 59514.

This code is assigned by the American Medical Association (AMA) and is used to describe the procedure of removing a cervical cerclage.

The code covers the following services:

• Removal of a cervical cerclage
• Anesthesia
• Postoperative care

Coding Considerations

The CPT code for cervical cerclage removal should be used when the procedure is performed to remove a cervical cerclage that was placed to prevent preterm birth.

The code should not be used when the procedure is performed to remove a cervical cerclage that was placed for other reasons, such as to treat cervical incompetence or to prevent miscarriage.

There are no special circumstances that would affect the coding of this procedure.

Documentation

It is important to document the following information in the medical record when performing a cervical cerclage removal procedure:

• The date and time of the procedure
• The type of cervical cerclage that was removed
• The method that was used to remove the cerclage
• Any complications that occurred during the procedure
• The patient’s postoperative instructions

Common Queries: Cpt Code For Cervical Cerclage Removal

What is the CPT code for cervical cerclage removal?

59620

What does the CPT code 59620 include?

Removal of cervical cerclage, including closure of the cervical os

When should CPT code 59620 be used?

When a cervical cerclage is removed, regardless of the reason for removal