CPT® Code 59852

Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic injection)

An induced abortion, commonly known as a therapeutic abortion, is a medical procedure aimed at terminating a pregnancy. In the context of CPT® Code 59852, this procedure involves the use of one or more intra-amniotic injections, which are also referred to as amniocentesis injections. The process begins with the administration of a local anesthetic at the site where the amniocentesis will be performed. A needle is then carefully inserted into the amniotic sac, followed by the introduction of a cannula through the needle. Once the cannula is in place, the needle is withdrawn, allowing for the first intra-amniotic injection to be administered. This injection is intended to cause fetal demise and to induce labor. Throughout the procedure, both uterine and fetal activity are closely monitored, along with the vital signs of the mother, to ensure safety and effectiveness. If the initial intra-amniotic injections do not achieve the desired outcome, additional injections may be administered to stimulate uterine contractions and facilitate the abortion process. In cases where these injections fail, a hysterotomy is performed. This surgical intervention involves making an incision in the abdomen to access the uterus, which is then incised to remove the fetus and placenta. After the removal, the placenta is examined, and the uterus is inspected to confirm that all products of conception have been successfully extracted. Finally, the uterine incision is closed, and the abdominal layers are sutured back together, completing the procedure. This comprehensive approach ensures that the procedure is conducted safely and effectively, with careful attention to the health and well-being of the patient throughout the process.