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https://www.supercoder.com/coding-newsletters/my-ob-gyn-coding-alert/you-be-the-coder-cerclage-removal-article
The removal is included in the insertion. If the physician removing the cerclage did not perform the procedure, you can only code this service as an E/M service. You would not report 59899 (unlisted procedure, maternity care and delivery) because you are not performing a surgical procedure when you remove sutures.
https://www.aapc.com/discuss/threads/removal-of-cerclage.63517/
Nov 14, 2011 · The removal is included in the insertion. If the physician removing the cerclage did not perform the procedure, you can only code this service as an E/M service. You would not report 59899 (unlisted procedure, maternity care and delivery) because you are not performing a surgical procedure when you remove sutures.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015834/
These women require a laparotomy to remove the cerclage and allow vaginal delivery or a classical hysterotomy to deliver the infant leaving the cerclage in situ. We describe the successful laparoscopic removal of an abdominal cerclage in a patient experiencing an intrauterine fetal death at 17 weeks.
https://www.supercoder.com/coding-newsletters/my-ob-gyn-coding-alert/you-be-the-coder-cerclage-removal-under-anesthesia-article
Wisconsin Subscriber Answer: When the ob-gyn places the cerclage (59320, Cerclage of cervix, during pregnancy; vaginal), most carriers assume the removal is an integral part of the procedure because the physician must eliminate the cerclage prior to delivery. Consequently, they generally won't reimburse for cerclage removal performed in the office.
https://www.webmd.com/baby/pregnancy-cervical-cerclage
Before Delivery. Your doctor will take out the cervical stitches before you give birth. This is usually around 37 weeks of pregnancy. She’ll do it sooner if you go into labor.
https://community.whattoexpect.com/forums/complications/topic/after-cerclage-is-removed.html
I would be curious to know about this, too! Â I had a cerclage done and my dr. will remove the stitch in 2 weeks, during 37 wks. Â She said i could even have a normal life!! (I've been on a strict bed rest for 17 wks by then). Â I wonder how long it will be to go into labor after the stitch is removed...
https://www.drugs.com/cg/cervical-cerclage-aftercare-instructions.html
An elective cerclage is usually carried out before the 16th week of pregnancy. It may be done to those with a past history of pregnancy loss or premature delivery. Depending on the symptoms, an urgent or emergency cerclage may be performed during the 16th to 24th week.
https://www.ncbi.nlm.nih.gov/pubmed/19560112/
Only 11% of women delivered within 48 hours. Women with ultrasound-indicated cerclage were more likely to deliver within 48 hours, compared with women with history-indicated cerclage (odds ratio, 5.14; 95% confidence interval, 1.10-24.05). CONCLUSION: The mean interval between elective cerclage removal and spontaneous delivery is 14 days.
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