CPT® Code 57170

1. Indications

The procedure of diaphragm or cervical cap fitting is indicated for individuals seeking a barrier method of contraception. The following conditions or situations may warrant this procedure:

• Desire for Contraception Patients who wish to prevent pregnancy using non-hormonal methods may opt for a diaphragm or cervical cap.
• Previous Contraceptive Methods Individuals who have not had success with other forms of contraception or who prefer to explore alternative options may be candidates for this fitting.
• Patient Education Patients who require education on the use of barrier contraceptives and their proper application may benefit from this procedure.

2. Procedure

The procedure for fitting a diaphragm or cervical cap involves several key steps to ensure proper placement and patient understanding.

• Step 1: Selection of Device The physician begins by assessing the patient's anatomy and selecting the appropriate size of diaphragm or cervical cap. This selection is critical as it directly impacts the effectiveness of the device in preventing pregnancy.
• Step 2: Fitting the Device Once the correct size is chosen, the physician positions the diaphragm or cervical cap over the cervix to verify that it fits correctly. This step is essential to ensure that the device will function as intended.
• Step 3: Patient Instruction If the patient is unfamiliar with barrier contraceptives, the physician provides comprehensive instructions on how to insert and position the device. This education is vital for empowering the patient to use the device effectively.
• Step 4: Self-Insertion The patient is then guided to insert the diaphragm or cervical cap independently. This step allows the patient to practice the insertion technique under the physician's supervision.
• Step 5: Verification After the patient has inserted the device, the physician checks to ensure that it is properly positioned over the cervix. This verification is crucial for confirming that the device is in the correct location to prevent sperm from entering the uterus.

3. Post-Procedure

Post-procedure care involves ensuring that the patient understands how to use the diaphragm or cervical cap effectively. The physician may provide additional information on the use of spermicidal jellies or creams that should accompany the devices to enhance their contraceptive effectiveness. Patients are encouraged to return for follow-up visits to assess the fit and comfort of the device, as well as to address any questions or concerns regarding its use. It is also important for patients to be aware of the need for proper cleaning and storage of the diaphragm or cervical cap to maintain hygiene and prolong the life of the device.