How To Use CPT Code 59130

CPT 59130 describes the surgical treatment of an ectopic pregnancy located in the abdominal cavity. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 59130?

CPT 59130 can be used to describe the surgical treatment of an ectopic pregnancy that is located in the abdominal cavity. The procedure involves removing the fetus and membranes from the abdomen through an abdominal incision.

2. Official Description

The official description of CPT code 59130 is: ‘Surgical treatment of ectopic pregnancy; abdominal pregnancy.’

3. Procedure

1. The patient is placed in the supine position and given a general anesthetic.
2. The provider makes an incision in the lower abdomen to access the pelvic cavity.
3. The provider locates the ectopic pregnancy and any bleeding in the pelvic cavity.
4. The fetus and membranes are removed from the abdomen.
5. If the placenta is not attached to the tube, ovary, or broad ligament, it is left in place.
6. The provider performs an abdominal lavage by washing out the abdomen with saline.
7. The abdominal incision is closed with sutures.

4. Qualifying circumstances

CPT 59130 is used for the surgical treatment of an ectopic pregnancy located in the abdominal cavity. It is important to note that this code specifically applies to abdominal pregnancies, where the fetus grows within the peritoneal cavity. The procedure is performed by a qualified healthcare professional and requires an abdominal incision.

5. When to use CPT code 59130

CPT code 59130 should be used when performing the surgical treatment of an ectopic pregnancy located in the abdominal cavity. It is important to ensure that the pregnancy is indeed ectopic and that it is located in the abdominal cavity before using this code.

6. Documentation requirements

To support a claim for CPT 59130, the healthcare professional must document the following information:

• Patient’s diagnosis of an ectopic pregnancy located in the abdominal cavity
• Description of the surgical procedure performed
• Date of the procedure
• Details of any complications or additional procedures performed
• Signature of the healthcare professional performing the procedure

7. Billing guidelines

When billing for CPT 59130, ensure that the procedure performed meets the criteria for an ectopic pregnancy located in the abdominal cavity. It is important to follow the specific documentation requirements and guidelines set forth by the payer. Additionally, be aware of any specific coding guidelines or modifiers that may be required for accurate billing.

8. Historical information

CPT 59130 was added to the Current Procedural Terminology system on January 1, 1990. It was later added to the Inpatient Only (IPO) list for Medicare in 2017.

9. Examples

1. A healthcare professional performs a surgical treatment for an ectopic pregnancy located in the abdominal cavity.
2. A patient undergoes a procedure to remove an ectopic pregnancy from the abdomen.
3. A provider performs an abdominal incision to treat an ectopic pregnancy in the abdominal cavity.
4. A surgical team removes a fetus and membranes from the abdomen in a procedure for an abdominal pregnancy.
5. A qualified healthcare professional performs a surgical treatment for an ectopic pregnancy located in the abdominal cavity.
6. A patient undergoes a procedure to remove an ectopic pregnancy from the abdomen.
7. A provider performs an abdominal incision to treat an ectopic pregnancy in the abdominal cavity.
8. A surgical team removes a fetus and membranes from the abdomen in a procedure for an abdominal pregnancy.
9. A qualified healthcare professional performs a surgical treatment for an ectopic pregnancy located in the abdominal cavity.
10. A patient undergoes a procedure to remove an ectopic pregnancy from the abdomen.