How To Use CPT Code 59830

CPT 59830 describes the completed surgical treatment of septic abortion. 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 59830?

CPT 59830 can be used to describe the completed surgical treatment of septic abortion. This code is used when the provider removes the products of conception that are causing a severe uterine infection. The procedure is performed via a vaginal approach.

2. Official Description

The official description of CPT code 59830 is: ‘Treatment of septic abortion, completed surgically.’

3. Procedure

1. Once the provider suspects a septic condition, the patient is immediately put on antibiotics and taken to the operating room.
2. The patient is placed in the dorsal lithotomy position and given a general anesthetic.
3. The provider inserts a weighted speculum, cleanses the cervix, and performs serial dilation if necessary.
4. The provider removes any remaining placental tissue using suction curettage.
5. All products of conception are sent to pathology for confirmation of completeness.
6. The instruments are withdrawn and bleeding is controlled.

4. Qualifying circumstances

Patients eligible to receive CPT 59830 are those with septic abortion, which is the development of an infection in the uterus following an abortion. Symptoms include fever, chills, abdominal pain, vaginal bleeding, and foul-smelling discharge. The procedure is performed via a vaginal approach.

5. When to use CPT code 59830

CPT code 59830 should be used when the provider performs the completed surgical treatment of septic abortion via a vaginal approach. It is important to note that this code is not appropriate for other types of abortion procedures or for the treatment of septic conditions unrelated to abortion.

6. Documentation requirements

To support a claim for CPT 59830, the provider must document the following information:

• Patient’s diagnosis of septic abortion
• Details of the surgical procedure performed, including the approach used
• Date of the procedure
• Any additional procedures or interventions performed
• Confirmation of completeness of the removal of products of conception
• Signature of the provider

7. Billing guidelines

When billing for CPT 59830, ensure that the procedure is performed via a vaginal approach to treat septic abortion. It is important to follow the specific documentation requirements and guidelines for accurate billing. CPT code 59830 should not be reported with other abortion procedure codes or with codes for unrelated septic conditions.

8. Historical information

CPT 59830 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 patient presents with symptoms of septic abortion, including fever, chills, abdominal pain, vaginal bleeding, and foul-smelling discharge. The provider performs a completed surgical treatment via a vaginal approach to remove the products of conception causing the infection.
2. A patient with a confirmed diagnosis of septic abortion undergoes a completed surgical treatment performed by the provider via a vaginal approach. The procedure successfully removes all remaining products of conception and controls bleeding.
3. A patient is admitted to the hospital with septic abortion. The provider performs a completed surgical treatment via a vaginal approach, removing all products of conception and confirming completeness through pathology examination.
4. A patient with septic abortion undergoes a completed surgical treatment performed by the provider via a vaginal approach. The procedure effectively removes all remaining products of conception, and the patient’s symptoms improve following the treatment.
5. A provider performs a completed surgical treatment via a vaginal approach for a patient diagnosed with septic abortion. The procedure successfully removes all products of conception, and the patient’s infection resolves with appropriate post-operative care.