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How to code for abortions, CPT Codes: 59820, 59821, 59840, 59841, 59850, 59851, 59852, 59855, 59856, 59857, 59870, 59200

Common Descriptions:

59840 Induced abortion, by dilation and curettage
59841 Induced abortion, by dilation and evacuation
59850 Induced abortion, by one or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines
59851 Induced abortion, by one or more intra-amniotic injections (amniocentesis injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacuation
59852 Induced abortion, by one or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic injection)
59855 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
59856 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 dilation and curettage and/or evacuation
59857 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)
59870 Uterine evacuation & curettage for hydatidiform mole

59820 – Missed abortion 1st trimester

59821 – Missed abortion 2nd trimester

Other potential add on CPT codes are:  76815 (Sonogram/Ulstrasound), 93000 (EKG),  36415 (Venipuncture), 85019 (hemoglobin), and 81025 (pregnancy test)

For Laminaria procedures:

CPT Codes:  59857, 59200 (separate procedure -  usually the second day), 88300 (surgical pathology), 76815 (Sonogram/Ultrasound)

Here are links to insurance company policy and other sources:

Oxford Health Plans

Minnesota Department of HS

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