CPT® Code 59851

Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacuation

An induced abortion, commonly referred to as a therapeutic abortion, is a medical procedure aimed at terminating a pregnancy through the use of intra-amniotic injections. This method is specifically utilized for patients in the second trimester of pregnancy and involves the administration of agents such as hypertonic saline, hypertonic urea, or prostaglandin F2a directly into the amniotic cavity. The procedure necessitates hospital admission and includes physician visits, as well as the delivery of the fetus and secundines, which are the membranes and placenta associated with the pregnancy. Prior to the abortion, cervical preparation is essential, often involving the insertion of laminaria, prostaglandin, or other cervical dilators to facilitate dilation of the cervix. The procedure is carefully monitored, with the mother’s vital signs and uterine and fetal activity being observed throughout. In cases where the abortion is incomplete, additional interventions such as dilation and curettage or evacuation may be required to ensure the complete removal of products of conception. This comprehensive approach ensures both the safety of the patient and the effectiveness of the procedure.