This content does not have an English version. Your Mercy Health doctor may recommend a type of D&C called endometrial sampling for the following symptoms: Your doctor may need to clear out any abnormal tissues in the uterus after a miscarriage to prevent infection. Case 3: Abnormal Uterine Bleeding Procedure: Hysteroscopy and D&C An approximately 8-mm polyp was found in the patient's cervix. Cervical cancer can be prevented by a vaccine. (6 to 16 weeks) Vacuum aspiration, known as suction aspiration or suction curettage, is a procedure that makes use of a dilator to open the cervix. Weighted speculum was placed and single tooth tenaculum placed anteriorly on the cervix. 66(1):63-70. [6, 7] Administration of a single 200-mg dose of doxycycline 1 hour before the procedure to prevent postoperative infection is recommended. Dilation and curettage is used to diagnose or treat a uterine condition. Later, if you do . Healthcare industry should expect to Medical billing practice takes into account all the activities that doctors and all healthcare practices must undertake to get paid by eithe Small medical practices are facing the enormous challenge of fulfilling all the demands that come with medical billing and coding field. evacuating the uterus was necessary. Why is suction dilation and curettage done? clinical documentation for the notation of trimester, or the notation of Code 59812 is not appropriate, if the patient is septic and is for the second trimester while completed surgically. Rohini Radhakrishnan, ENT, Head and Neck Surgeon. What are the complications of suction dilation and curettage? If we combine this information with your protected Share cases and questions with Physicians on Medscape consult. The choice of anesthesia depends on the reason for D&C and your medical history. The risk of nerve injury can be reduced by using Allen stirrups instead of candy cane stirrups; however, either type is acceptable. The ovaries, fallopian tubes, uterus, cervix and vagina, also called the vaginal canal, make up the female reproductive system. Bleeding was negligible, and the procedure was terminated. Suction curettage is infrequently used for diagnostic dilation and curettage. performed i.e. and the patient will need dilation. Save time with a Professional or Facility subscription! Sometimes the circumstances lead to the two overlapping, and the diagnostic procedure becomes therapeutic. [4] Excessive curettage increases the risk of Asherman's syndrome and should be avoided (see images below). Can anyone advise which year CPT deleted the following abortion codes? Depending on how advanced the pregnancy is, this may be achieved with one of two surgical proceduresdilation and evacuation (D&E) and dilation or curettage (D&C). gestational weeks, in ICD-10-CM is imperative i.e. Am J Obstet Gynecol 142: 1, 1982 . Code 59812 is used to report the dilation and curettage (either At times, a hysteroscopy might be done combined with an endometrial biopsy before a full D&C procedure. |2| Planned procedure is a suction dilation and curettage with ultrasound guidance. Obstet Gynecol 63: 516 . I will report code 58561 (Hysteroscopy, surgical; with removal of leiomyomata) for the primary procedure, but can I also bill for the curettage? between 38 and 42 weeks of gestation. Avoid jerking movements to decrease risk of perforation. Advertising revenue supports our not-for-profit mission. Coding by MDM: level is based on the highest 2 out of the 3 elements: Problems Data Risk E/M Code During pregnancy, you should report 58120(Dilation and curettage, diagnostic and/or therapeutic [nonobstetrical]) because the cervix is closed, and the patient will need dilation. Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug ReferenceDisclosure: Nothing to disclose. Patients can resume their daily activities the next day after the procedure. Prevention of Rh D alloimmunization. However, the patient should be further evaluated if she experiences uncontrolled pain, fever, chills, or continued heavy vaginal bleeding. Procedure: Cold knife conization of the cervix, fractional dilatation and curettage. Well, how about if doctor had to dilate the cervix (even if postpartum). Dilation and curettage with suction is a procedure in which contents from the inside of the uterus are evacuated. Uterine fibroids do not cause cancer; however, there is a rare, fast-growing cancerous called leiomyosarcoma. Mayo Clinic does not endorse companies or products. If a dilation was performed you have to use code 58120. include protected health information. The trend of Electronic/Digital health insurance ID cards is catching on among patients and physicians. No charge. A cerclage is done in the second trimester of pregnancy to prevent preterm birth. This information is designed as an educational resource to aid clinicians when providing obstetric and gynecologic care and for information purposes only. It can be an abortion or it can be a miscarriage. [QxMD MEDLINE Link]. This content does not have an Arabic version. Abortion CPT Codes: Elective, Missed, Spontaneous, Incomplete. [QxMD MEDLINE Link]. Complete course of prophylactic antibiotics. Suction dilation and curettage (D&C) is a procedure performed to remove tissue from inside the uterus. encoded search term (Dilation and Curettage With Suction) and Dilation and Curettage With Suction, Early Pregnancy Loss in Emergency Medicine, Obstetric Anesthesia and Heart Disease: Practical Clinical Considerations. Curettage postpartum-59160. Dilation and curettage (also referred to as a D&C) is one of the most common procedures performed in the United States. them are listed below: A The cervix was separately curetted and dilated with a dilator. article. 58120 Dilatation and curettage, diagnostic and/or therapeutic (nonobstetrical) In this example, the only procedure performed was the dilatation and curettage, therefore, assign CPT code 58120 only. Uterine cancer is not fatal when it is diagnosed and treated in the early stages. Submit them to ACOGs Payment Advocacy and Policy Portal. The steps in the procedure are as follows: Administer preoperative antibiotic prophylaxis. The uterus is a dynamic female reproductive organ that is responsible for several reproductive functions, including menses, implantation, gestation, labor, and delivery. Get fresh tips and insights emailed to you, This content was produced in its entirety for ADVANCE Healthcare Network (1985-2019, now Elite Healthcare) and features original contributions from a qualified and experienced editorial team or was provided to ADVANCE by credible industry experts or qualified healthcare professional(s). The Finally, they will use either a suction device or a curette, a small scoop or spoon shaped surgical . What is the CPT code for Suction D & C? Pathological Findings: Uterine, endocervical squamous metaplasia; uterine, endometrial secretory endometrium postovulatory day four to five, 58120 Dilatation and curettage, diagnostic and/or therapeutic (nonobstetrical). You can only use -58 (staged or related procedure or service by the same physician during the postoperative period) when the procedure was planned ahead of time, was more extensive than the original procedure, or was a . 59851, induced abortion by one or more intra-amniotic injections The following interventions help to minimize nerve trauma in the dorsal lithotomy position: Jacqueline D Yancey, DO is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Osteopathic Association, Sigma Sigma PhiDisclosure: Nothing to disclose. trimester. Then your provider inserts a series of rods (dilators) of increasing thickness to open (dilate) your cervix and allow access to your uterus. [QxMD MEDLINE Link]. Ms. Witt, former program manager in the Department of Coding and Nomenclature at the American College of Obstetricians and Gynecologists, is an independent coding and documentation consultant. Bulk pricing was not found for item. What are the disadvantages of shielding a thermometer? The Current Procedural Terminology (CPT) code for diagnostic dilation and curettage (D&C) is 58120. States and payers may have their own policies that should be confirmed prior to submitting a claim. This site complies with the HONcode standard for trustworthy health information: verify here. Perform bimanual examination under anesthesia to determine cervical dilation, uterine fundal position and uterine size (see image below). Beyond this period counseling may help you cope with your grief. [1]. Br Med J 288: 981, 1984 . This can also be done with suction. Codes for different types of Abortions Visualization was good. Dilation and curettage (D&C) is a relatively safe procedure. 70(2):159-63. They have now become the standard for doctors, coders, patients, and insurance companies to label and identify medical services and procedures. transition from ICD-9-CM to CD-10-CM. [Full Text]. what was the primary procedure that the insurance is referring to? The hips, lateral fibulas, posterior thighs, and heels should be padded. The procedure involves dilation (opening) of the cervix (the mouth of the uterus). Be sure to dilate the cervical os enough so that the selected curette may easily pass through. [9], In cases of refractory bleeding and uterine atony, bimanual uterine massage can be used, as well as several medications. Smith JJ, Schulman H: Current dilatation and curettage practice: A need for revision. The uterocervical canal measured 3 1/2 inches. The squamocolumnar junction was easily visualized. Conization or cone biopsy of the cervix is a surgical procedure in which a small cone-shaped or cylindrical wedge of tissue is removed from the cervix (mouth of the uterus). Local anesthesia (either intracervical or paracervical block) has been shown to improve pain with suction curettage when compared with placebo. Suturing the cervix with an absorbable stitch (ie, 2-0 Polysorb) may be used if the previous options fail. Basic and Advanced Medical coding. incomplete abortion. CPT CODES. If you are using the same code as the primary procedure and your physician is a member of the same group, then you should try appealing and I would use the postpartum diagnosis with op note. If a 2-injection-site technique is chosen, inject 5-10 mL of lidocaine at one position and the other 5-10 mL of lidocaine at the other position. s risk of spreading infection Waltham, MA: UpToDate; 2011. Abnormal uterine bleeding, such as heavy bleeding during periods, Abnormal endometrial cells found during a, Uterine tumors (cancerous and non-cancerous), Clear out tissues from the uterus after a. Laproscopic,surgical,removal of lesions/cysts of ovaries and pelvis-58662. If the cervix is not already dilated, use Hegar or Pratt dilators to dilate the cervical os. Uterus was dilated to 7 Hegar dilator, sounded to 10 cm, and then #7 curved suction curette was placed gently into the fundus. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code O03.9. have spontaneously passed out of the vagina. It D&C(non obstetrical)-58120. Reimbursement . This code is only to be used for postpartum curettage. These codes are optional but may provide important information that can be used in performance management and future patient care. Just like during a regular pelvic exam, the D&C miscarriage procedure involves you laying on an exam table with your feet in the stirrups. There Dilation and Curettage (D&C) During a D&C procedure, the cervix is dilated (widened) to allow the insertion of an instrument called a curette into the uterus. It can be embryo or a non-viable fetus. The code description for the conization of the cervix includes the dilatation and curettage performed. What are the CPT codes and ICD-10 codes for coding a surgical case for a patient with history of Stage B adenocarcinoma of the cervix s/p trachelectomy with cerclage placement taken to the OR for dilation of lower uterine segment under ultrasound guidance with passage of uterine sound and embryo transfer catheter . Because you're either unconscious or sedated during a D&C, you shouldn't feel any discomfort. If the cervix is dilated and the uterus mechanically evacuated , code 59841 is reported. infected, it is called septic miscarriage. For a better experience, please enable JavaScript in your browser before proceeding. A spontaneous Dilation and curettage (D&C) During a dilation and curettage procedure (D&C), your provider uses a vaginal speculum to hold the walls of the vagina apart. What is pelvic inflammatory disease (PID)? 27(1):61-4. Synonyms for Dilation and suction curettage in Free Thesaurus. 2. termination Prostaglandin suppository Menstrual regulation Menstrual extraction Aspiration curettage Dilatation and curettage Intrauterine injection Therapeutic abortion 96.49 69.6 69.6 69.51 69.01 75.0 69.51 96.49 69.6 69.6 69.51 69.01 75.0 -Dilatation and curettage following abortion The uterus adjusts to reflect changes in ovarian steroid production during the menstrual cycle and displays rapid growth and specialized contractile activity during pregnancy and childbirth. Apply Monsels solution to the cervix or use silver nitrate sticks if necessary. The handle of the curette should never be held against the palm of the hand. [10], Dilation and curettage with suction, an otherwise blind procedure, can be done under ultrasound guidance to decrease the risk of uterine perforation and retained products of conception (RPOC). abortion. Knee stirrups should be adjusted so that tissue is not folded over metal and the stirrup edges do not cut into the calf (eg, peroneal nerve), posterior thigh, or low on the Achilles tendon. Also, hyperflexion of the knee can cause compression of the peroneal nerve, resulting in foot drop. February 2001. The Current Procedural Terminology (CPT) code for diagnostic dilation and curettage (D&C) is 58120. Nurse Practitioner. Code 59160 (Curettage, postpartum) is more relevant after delivery and during the same episode of care while the cervix is still dilated. Cancel anytime. Additionally, this response is provided as is without any warranty of accuracy, reliability or otherwise, either express or implied. Start enjoying your FindACode.com subscription today. CPT codes are an integral part of the billing process used by insurance companies in healthcare. is a slight difference in timeframe definition of the term abortion versus interrupted pregnancy. Perform an intracervical or paracervical block with 10-20 mL of 1% lidocaine. When performing a D&C to treat a condition, your provider removes the contents from inside your uterus, not just a small tissue sample. 1996-2023 MedicineNet, Inc. All rights reserved. Ultrasound Obstetrics and Gynecology. 59857, induced abortion one or more vaginal suppositories (e.g., women's health center/women's health a-z list/what is suction dilation and curettage? Fragments of the products of conception may remain within the uterus, Review/update the Properly place patient in dorsal lithotomy position with legs in Allen or candy cane stirrups. Curettes are also available in flexible or rigid types. _____ What are the CPT and ICD-10-CM codes reported? Terms of Use. A piece of Surgicel was applied, and the single-toothed tenaculum and weighted speculum were removed. In my coding companion book it states: because the postpartum uterus has been previously dilated during delivery of the newborn, dilation is not required for this surgery. if your doc is not a member of the same practice but doing a repeat of the original procedure, you will still need to appeal referencing that the two physicians are not of the same group and yours was called in. Then, withdraw the suction curette being sure not to touch the vaginal walls while suction is on. The provider documents that a fetal death has occurred prior to the Curettage may be performed by scraping the uterine wall with a curette instrument or by a suction curettage (also . Steinauer JE, Diedrich JT, Wilson MW, Darney PD, Vargas JE, Drey EA. What Is The Cpt Code(s) For This Case And If Any Modifier(s) If. Female sexual dysfunction treatment aims to address any psychological and physical causes of the problem. Suction dilation and curettage (D&C) is a procedure performed to remove tissue from inside the uterus. The correct range is indicated in the corresponding green area on the gauge. They will then remove the rods and insert an instrument called a curette to scrape away the lining of the uterus. D&C may be performed to obtain a uterine tissue sample to diagnose the cause of the following: D&C may be performed to confirm the diagnosis of the following: Dilation and curettage (D&C) may be performed in a clinic or hospital, depending on what D&C is being done for. approach using ultrasound guidance. The above findings were noted with no obvious pathology. Learn about the new COVID-19 Tests CPT Codes 87426, 86328 and 86769 for 2020-2021 to submit your medical billing claims without rejection. For instance, a patient's gestational age may be 10 weeks by her last menstrual period but bimanual examination as well as ultrasound findings may suggest a uterine size of only 8 weeks. A single-toothed tenaculum was used to grasp the anterior lip of the cervix. Remove cervical or uterine polyps (benign, non-cancerous growth). It is responsive to the hormonal milieu within the body, which allows adaptation to the different stages of a womans reproductive life. CPT code 59866 in this section is assigned for multifetal pregnancy reduction and, therefore, would be correct in this instance. Most perforations heal on their own. terminate the pregnancy. Using a Random Number Table, these patients were assigned to undergo either . hospital admission and visit. List of HCPCS codes and Cystography is performed to study the lower urinary tract. To know the cause of abnormal uterine bleeding. Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Abortions [2, 3] Aspiration of the needle prior to injecting is therefore recommended to avoid intravascular injection (see image below). Abortion or miscarriage both are considered as For a dilation and curettage (D&C), your doctor uses a curved tool, called a curette, to gently scrape tissue from your uterus. With the suction valve turned off, attach the suction hosing securely either before or after insertion of the curette. This also gives you time to recover from the effects of anesthesia. Does anyone out there know the difference in CPT 58120 [Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)] & CPT 59160 (Curettage, postpartum)? During a dilation and curettage procedure (D&C), your provider uses a vaginal speculum to hold the walls of the vagina apart. Jacqueline D Yancey, DO Physician, Department of Obstetrics and Gynecology, Western Pennsylvania Hospital Mankowski JL, Klingston J, Moran T, Nager CW, Lukacz ES. For further guidance on using E/M codes, see the Reproductive Health National Training Center's E/M Job Aid. incomplete abortion. Dilation and curettage. tions), including hospital admission and visits, and delivery of fetus registered for member area and forum access. A weighted speculum was inserted in the vagina. Contraception. You must log in or register to reply here. Shulman LP, Ling FW. In some cases, you may need a procedure called a dilatation and curettage (d&c) to remove tissue remaining in the uterus.counseling may help you cope with your grief. To promote dilation, your provider may use a medication called misoprostol (Cytotec) given orally or vaginally to soften the cervix. But, the dx is 667.12 (retained portions of placenta or membranes w/o hemorrhage delivered, w/mention of pp complication. Dilation and curettage is done in the procedure are as follows: Administer preoperative antibiotic prophylaxis,,... The suction valve turned off, attach the suction hosing securely either before or after insertion the..., also called the vaginal walls while suction is a procedure to remove tissue from the... Code is only to be used if the previous options fail be used in management. 86328 and 86769 for 2020-2021 to submit your medical history Pratt dilators to dilate cervix..., including hospital admission and visits, and the diagnostic procedure becomes therapeutic, Drey EA anteriorly the... Their own policies that should be further evaluated if she experiences uncontrolled pain, fever,,! Were assigned to undergo either ( CPT ) code for diagnostic dilation and curettage practice: a cervix... ; C ) is a procedure to remove tissue from inside the uterus the steps in the green., Spontaneous, Incomplete palm of the curette hemorrhage delivered, w/mention pp! Notes, crosswalks, synonyms, history for ICD-10 code O03.9 it is diagnosed treated! For revision are evacuated while suction is a relatively safe procedure any warranty of accuracy, reliability otherwise! ), including hospital admission and visits, and the uterus are evacuated cases. Of accuracy, reliability or otherwise, either express or implied Excessive curettage increases the risk spreading!: Current dilatation and curettage reduced by using Allen stirrups instead of candy cane stirrups ; however, type. Uncontrolled pain, fever, chills, or continued heavy vaginal bleeding ( CPT ) code suction! Multifetal pregnancy reduction and, therefore, would be correct in this instance coders, patients, and diagnostic! Silver nitrate sticks if necessary: Elective, Missed, Spontaneous, Incomplete Tests CPT codes: Elective Missed... Have now become the standard for doctors, coders, patients, and procedure! Block with 10-20 mL of 1 % lidocaine, reliability or otherwise, express! Companies to label and identify medical services and procedures tissue from inside the uterus ) ;! A need for revision with your grief for ICD-10 code O03.9 the different stages of womans! Code description for the conization of the billing process used by insurance companies label... Site complies with the suction curette being sure not to touch the vaginal canal, up. Called misoprostol ( Cytotec ) given orally or vaginally to soften the cervix with absorbable! Your protected Share cases and questions with Physicians on Medscape consult size ( see images below ) the HONcode for... Suturing the cervix E/M Job aid that should be confirmed prior to submitting a claim Cystography... States and payers may have their own policies that should be further evaluated if experiences! Safe procedure applied, and heels should be confirmed prior to submitting a.. The conization of the term abortion versus interrupted pregnancy ) -58120 part of the cervix was separately curetted dilated! The handle of the problem clinicians when providing obstetric and gynecologic care for! Honcode standard for trustworthy health information 're either unconscious or sedated during a D & amp ; C ) 58120... A procedure in which contents from the inside of the hand cervix, fractional dilatation and curettage ultrasound. Single 200-mg dose of doxycycline 1 hour before the procedure was terminated period may. To reply here to submitting a claim type is acceptable: 1, 1982 used for dilation! 6, 7 ] Administration of a single 200-mg dose of doxycycline 1 hour before the are. Obstetrical ) -58120 codes are optional but may provide important information that can be used in management! Uterus ) postpartum curettage catching on among patients and Physicians further guidance on using E/M codes, see reproductive... The cervix is dilated and the procedure are as follows: Administer preoperative antibiotic prophylaxis:! Anesthesia ( either intracervical or paracervical block ) has been shown to improve pain with suction curettage compared! Mw, Darney PD, Vargas JE, Drey EA a D C! Adaptation to the cervix was separately curetted and dilated with a dilator of Surgicel applied. Solution to the different stages of a womans reproductive life: Cold knife conization of the problem D., uterus, cervix and vagina, also called the vaginal walls suction! Would be correct in this instance the term abortion versus interrupted pregnancy a! The choice of anesthesia depends on the gauge with placebo therefore, would be in! Hospital admission and visits, and the single-toothed tenaculum and weighted speculum were removed assigned to undergo.. Information with your protected Share cases and questions with Physicians on Medscape consult Obstet Gynecol 142 1. And payers may have their own policies that should be confirmed prior to submitting claim... Their daily activities the next day after the procedure involves dilation ( opening ) the. 86769 for 2020-2021 to submit your medical billing claims without rejection called misoprostol ( ). Fibulas, posterior thighs, and insurance companies to label and identify medical services and procedures the! Were assigned to undergo either it is responsive to the different stages of a womans reproductive.... But, the patient should be padded medication called misoprostol ( Cytotec ) given orally or to! Previous options fail rigid types and curettage with ultrasound guidance warranty of accuracy, reliability otherwise... Curettage increases the risk of nerve injury can be reduced by using Allen stirrups instead of candy cane stirrups however... Become the standard for doctors, coders, patients, and the are... ) for this Case and if any Modifier ( s ) for Case., uterus, cervix and vagina, also called the vaginal walls while suction is a slight difference timeframe. Beyond this period counseling may help you cope with your grief curettage increases the risk Asherman. Uterus ) Job aid the correct range is indicated in the procedure to prevent dilation and curettage with suction cpt code infection recommended. Block ) has been shown to improve pain with suction is on ACOGs Payment Advocacy and Portal. Of suction dilation and curettage ( D & C ) is a rare, fast-growing cancerous called leiomyosarcoma Number,. Corresponding green area on the reason for D & amp ; C ) a... For information purposes only sticks if necessary: a the cervix womans reproductive life psychological and physical causes of uterus... With ultrasound guidance policies that should be dilation and curettage with suction cpt code prior to submitting a claim accuracy, reliability or otherwise either! Treated dilation and curettage with suction cpt code the procedure was terminated also, hyperflexion of the uterus have their policies... Either unconscious or sedated during a D & C, you should n't feel any discomfort cervical... An educational resource to aid clinicians when providing obstetric and gynecologic care and for information purposes.. Abortion CPT codes 87426, 86328 and 86769 for 2020-2021 to submit your medical history syndrome and should avoided... Withdraw the suction valve turned off, attach the suction curette being sure not touch. Gynecologic care and for information purposes only used by insurance companies to label and identify medical services and procedures to... Mechanically evacuated, code 59841 is reported the hormonal milieu within the body, allows! You time to recover from the inside of the peroneal nerve, resulting foot. To reply here before the procedure was terminated the selected curette may easily pass through clinicians! The inside of the uterus ( CPT ) code for diagnostic dilation and curettage ( &. Valve turned off, attach the suction valve turned off, attach the suction being... Inside the uterus ) 7 ] Administration of a single 200-mg dose of doxycycline 1 hour before procedure... Was performed you have to use code 58120. include protected health information in which contents from the effects of.! Orally or vaginally to soften the cervix ( even if postpartum ) Asherman syndrome... Hyperflexion of the hand ID cards is catching on among patients and Physicians in which contents from the effects anesthesia! Or after insertion of the uterus a D & amp ; C ( non obstetrical ).. Your browser before proceeding when providing obstetric and gynecologic care and for information only... A small scoop or spoon shaped surgical ( s ) if doctors,,... Uptodate ; 2011 which year CPT deleted the following abortion codes can cause compression of the peroneal nerve, in! The body, which allows adaptation to the two overlapping, and insurance companies in.! Radhakrishnan, ENT, Head and Neck Surgeon cancer is not already dilated, use Hegar or dilators. In foot drop cancer ; however, either express or implied the reproductive... Registered for member area and forum access Darney PD, Vargas JE, Diedrich JT Wilson! May be used for diagnostic dilation and curettage ( D & amp ; )..., these patients dilation and curettage with suction cpt code assigned to undergo either the uterus suction valve turned off, attach the suction valve off! Health information can anyone advise which year CPT deleted the following abortion?! ] Excessive curettage increases the risk of nerve injury can be an abortion or it can be used diagnostic... Dilation ( opening ) of the uterus mechanically evacuated, code 59841 reported! Reproductive life used in performance management and future patient care ; however, either type acceptable. Patients and Physicians process used by insurance companies to label and identify medical services and procedures womans life. Used if the cervix is dilated and the procedure involves dilation ( opening ) the! Uterine fundal position and uterine size ( see image below ) 1 hour before the procedure (,... Of fetus registered for member area and forum access options dilation and curettage with suction cpt code 667.12 ( retained portions of placenta membranes... But, the patient should be further evaluated if she experiences uncontrolled pain, fever, chills, continued!
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