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The procedure described by CPT® Code 57180 involves the introduction of a hemostatic agent or pack into the vagina to manage spontaneous or traumatic nonobstetrical vaginal hemorrhage. A hemostatic agent is a substance that promotes the cessation of bleeding, while a pack refers to a material used to apply pressure to a bleeding site, thereby aiding in the control of hemorrhage. The application of such agents or packs is critical in situations where there is significant vaginal bleeding, which may arise from various causes, including trauma or spontaneous events. The packing technique is essential for achieving a tamponade effect, which helps to compress the bleeding vessels and reduce blood loss. Typically, physicians utilize a long continuous segment of sterile gauze for this purpose, which can be placed directly into the vaginal canal or within a sterile plastic bag or glove to facilitate easy removal. Throughout the duration of the packing, the patient is closely monitored to ensure that the hemostatic agent or pack effectively controls the bleeding and to check for any signs of undetected bleeding that may occur proximal to the pack or internally.
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The procedure associated with CPT® Code 57180 is indicated for the management of spontaneous or traumatic nonobstetrical vaginal hemorrhage. This condition may arise from various clinical scenarios, necessitating the use of a hemostatic agent or pack to control excessive bleeding.
The procedure for CPT® Code 57180 involves several critical steps to ensure effective management of vaginal hemorrhage.
After the procedure, the patient requires careful observation to assess the effectiveness of the hemostatic agent or pack. Healthcare providers will monitor vital signs and any signs of continued bleeding. Once it is determined that the bleeding is adequately controlled, the pack can be removed. The removal process should be done gently to avoid any disruption to the healing tissue. Additionally, the patient may need follow-up care to address the underlying cause of the hemorrhage and to ensure proper recovery.
| Short Descr | TREAT VAGINAL BLEEDING | Medium Descr | INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX | Long Descr | Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) | Status Code | Active Code | Global Days | 010 - Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 131 - Other non-OR therapeutic procedures, female organs |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | GC | This service has been performed in part by a resident under the direction of a teaching physician | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| Pre-1990 | Added | Code added. |
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