CPT® Code 59072

The procedure described by CPT® Code 59072 involves fetal umbilical cord occlusion, which is a specialized intervention performed under ultrasound guidance. This procedure is primarily indicated for monochorionic twins, which are twins that share the same placenta. In cases where one twin has a significant fetal anomaly that is incompatible with survival or has already experienced fetal demise, the health and survival prospects of the other twin may be jeopardized. By occluding the umbilical cord of the affected twin, the vascular connection between the two fetuses is severed, leading to the demise of the anomalous twin. This action is intended to enhance the chances of survival for the healthy twin. Additionally, fetal umbilical cord occlusion may be utilized in the context of twin-twin transfusion syndrome (TTTS), a serious condition that can arise in monochorionic pregnancies. TTTS occurs when there is an abnormal exchange of blood between the twins, resulting in one twin experiencing an excess of amniotic fluid (polyhydramnios) while the other has a deficiency (oligohydramnios). The procedure involves careful identification of the umbilical cord of the affected fetus and a suitable access point in the placenta, followed by the application of techniques such as laser, suture, or bipolar coagulation to occlude the cord. Continuous ultrasound guidance is employed throughout the procedure to ensure precision and to confirm the successful occlusion of blood flow, which is critical for the health of the surviving twin. The physician also engages in post-procedure discussions with the patient to convey the results and implications of the intervention.