CPT® Code 59857

Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed medical evacuation)

An induced abortion, also known as a therapeutic abortion, is a medical procedure aimed at terminating a pregnancy. This specific procedure, identified by CPT® Code 59857, involves the use of one or more vaginal suppositories, such as prostaglandin, which may be administered with or without the prior dilation of the cervix. The process begins with hospital admission, where the patient is closely monitored throughout the procedure. The use of vaginal suppositories is intended to induce uterine contractions and facilitate the delivery of the fetus and associated tissues, known as secundines. In cases where the medical evacuation of the fetus is unsuccessful, a surgical intervention known as a hysterotomy is performed. This involves making an incision in the abdomen to access the uterus, which is then incised to allow for the removal of the fetus and placenta. The procedure is comprehensive, encompassing not only the administration of medications and monitoring of the patient but also the surgical aspects required in the event of a failed medical evacuation. The careful examination of the placenta and the uterus post-removal is crucial to ensure that all products of conception have been effectively cleared, thereby minimizing the risk of complications. The procedure concludes with the closure of the uterine incision and the abdominal layers, ensuring the patient's safety and recovery.