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Endometrial ablation, specifically thermal endometrial ablation without hysteroscopic guidance, is a medical procedure aimed at treating certain benign conditions of the uterus, particularly menorrhagia, which is excessive menstrual bleeding often resulting from dysfunctional uterine bleeding. This procedure utilizes heat to destroy the endometrial tissue, which is the lining of the uterus. By applying thermal energy, the procedure effectively reduces or eliminates the source of abnormal bleeding. The absence of hysteroscopic guidance indicates that the procedure is performed without the use of a hysteroscope, a thin, lighted tube that allows for direct visualization of the uterine cavity. Instead, the procedure relies on other methods to ensure proper placement and effectiveness. Prior to the ablation, a baseline transvaginal ultrasound is conducted to assess the uterine condition, followed by the insertion of a balloon catheter into the uterine cavity, which is then inflated with heated water to achieve the desired therapeutic effect on the endometrial lining.
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The procedure of thermal endometrial ablation without hysteroscopic guidance is indicated for the treatment of specific benign conditions related to the uterus. These include:
The thermal endometrial ablation procedure involves several key steps to ensure effective treatment of the uterine lining. The steps are as follows:
After the thermal endometrial ablation procedure, patients may experience some discomfort and cramping, which is typical following such interventions. It is important for patients to follow any post-procedure care instructions provided by their healthcare provider. Monitoring for any unusual symptoms, such as excessive bleeding or signs of infection, is crucial during the recovery period. Patients are generally advised to avoid strenuous activities and sexual intercourse for a specified period to allow for proper healing. Follow-up appointments may be scheduled to assess the effectiveness of the procedure and to monitor the patient's recovery.
| Short Descr | ENDOMETR ABLATE THERMAL | Medium Descr | ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID | Long Descr | Endometrial ablation, thermal, without hysteroscopic guidance | Status Code | Active Code | Global Days | 010 - Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 2 - Co-surgeons permitted and no documentation required if the two- specialty requirement is met. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5E - Ambulatory procedures - other | MUE | 1 | CCS Clinical Classification | 125 - Other excision of cervix and uterus |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2011-01-01 | Changed | Short description changed. |
| 2001-01-01 | Added | First appearance in code book in 2001. |
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