CPT® Code 59841

An induced abortion, specifically by dilation and evacuation (D&E), is a medical procedure that involves the intentional termination of a pregnancy. This method is categorized as a therapeutic abortion, which is performed for various medical reasons. During the procedure, a healthcare provider utilizes a combination of techniques to safely remove the contents of the uterus. The process begins with the insertion of a speculum into the vagina to allow for a clear view of the cervix. The cervix is then cleansed with an antiseptic solution to minimize the risk of infection. A tenaculum, a surgical instrument, is used to grasp the anterior cervical lip, providing stability during the procedure. To assess the depth and angle of the uterus, a sound is passed through the cervix. This step is crucial for ensuring that the subsequent dilation is performed accurately. The cervix is numbed and dilated using a series of metal rods of increasing diameter, or alternatively, a laminaria tent may be placed in the cervix hours before the procedure to facilitate gradual dilation. Once the cervix is adequately dilated, a suction curette is inserted through the cervix. The suction is initiated while the curette is rotated, effectively removing the uterine contents. The procedure concludes with the removal of the tenaculum and the application of pressure to control any bleeding from the cervix. This method is recognized for its effectiveness and is a common approach in the context of induced abortions.