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Dilation and curettage of the cervical stump, as indicated by CPT® Code 57558, is a surgical procedure aimed at the removal of tissue from the cervical stump, which is the remnant of the cervix left after a hysterectomy. This procedure is typically performed when there is a need to address abnormal tissue or for diagnostic purposes. The process begins with the insertion of a speculum into the vagina, allowing the physician to visualize the cervix clearly. Once the cervix is accessible, a dilator is used to enlarge the cervical opening, facilitating the scraping of the remaining tissue. The physician then employs a curette, a surgical instrument designed for scraping, to carefully remove the tissue from the cervical stump. After the scraping is completed, the speculum is removed, concluding the procedure. This intervention is crucial for managing potential complications or conditions that may arise from the residual cervical tissue.
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The dilation and curettage of the cervical stump is performed for specific indications, which may include:
The procedure of dilation and curettage of the cervical stump involves several critical steps, which are outlined as follows:
Post-procedure care following dilation and curettage of the cervical stump typically includes monitoring the patient for any immediate complications, such as excessive bleeding or signs of infection. Patients may be advised to rest and avoid strenuous activities for a short period. Follow-up appointments may be scheduled to assess recovery and discuss any pathology results obtained from the scraped tissue. It is also important for patients to be informed about potential symptoms to watch for, such as unusual discharge or persistent pain, which should be reported to their healthcare provider.
| Short Descr | D&C OF CERVICAL STUMP | Medium Descr | DILATION & CURETTAGE CERVICAL STUMP | Long Descr | Dilation and curettage of cervical stump | 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 | Hospital Part B services paid through a comprehensive APC | 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) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 125 - Other excision of cervix and uterus |
| 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). |
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| 2007-01-01 | Added | First appearance in code book in 2007. |
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