CPT® Code 59076

The procedure described by CPT® Code 59076 involves the placement of a fetal shunt, which is a medical intervention performed under ultrasound guidance. This procedure is primarily indicated for the treatment of conditions such as pleural effusion, where excess fluid accumulates in the fetal thorax, or bladder obstruction, where fluid builds up in the fetal bladder. The shunt serves as a conduit that drains this excess fluid into the amniotic cavity, thereby alleviating pressure and potential complications for the developing fetus. The process begins with the selection and sterilization of the shunt and the necessary insertion instruments. To ensure patient comfort, a local anesthetic is administered to the maternal abdominal wall and fascia prior to the procedure. Continuous ultrasound guidance is utilized throughout the intervention to accurately navigate the trocar into the maternal abdomen, uterus, and subsequently into the fetal thorax or bladder. The placement of the catheter is carefully executed, with confirmation of correct positioning achieved through ultrasound imaging. Following the procedure, both the patient and fetus are monitored, and additional imaging may be performed to ensure proper drainage of the thorax or bladder. The physician concludes the procedure by discussing the outcomes with the patient and preparing a comprehensive written report detailing the intervention and its results.