© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 59070 refers to the procedure known as transabdominal amnioinfusion, which is performed with the assistance of ultrasound guidance. This medical intervention is primarily indicated for cases where there is a deficiency of amniotic fluid, a condition that can hinder the clear visualization and assessment of fetal anatomy. The procedure is crucial as it enhances the ability to evaluate the fetus's development and health. In addition to its primary purpose, transabdominal amnioinfusion may also be utilized in conjunction with other invasive procedures, such as fetoscopy or the placement of fetal shunts, which are interventions aimed at addressing specific fetal conditions. During the procedure, a needle is carefully inserted into the uterus under continuous ultrasound guidance, ensuring that the fetus is avoided. An amniocentesis is performed, followed by the instillation of sterile saline into the amniotic cavity until optimal visualization of the fetal anatomy is achieved. After the saline infusion, the needle is withdrawn, and a comprehensive ultrasound examination of the fetus is conducted. Post-procedure, the patient is monitored as necessary to ensure safety and assess any potential complications.
© Copyright 2025 Coding Ahead. All rights reserved.
The transabdominal amnioinfusion procedure is indicated for several specific conditions related to low amniotic fluid levels. These indications include:
The transabdominal amnioinfusion procedure involves several critical steps to ensure its effectiveness and safety. The first step is the preparation of the patient, which includes obtaining informed consent and ensuring that the patient is in a comfortable position. Following this, continuous ultrasound guidance is initiated to visualize the uterus and fetus accurately. The physician then carefully selects an appropriate site on the abdomen to insert a needle. Using the ultrasound images, the physician guides the needle into the uterus, taking great care to avoid any contact with the fetus. Once the needle is correctly positioned, an amniocentesis is performed to withdraw a small amount of amniotic fluid for analysis if necessary. Subsequently, sterile saline is instilled into the amniotic cavity through the needle. The infusion continues until optimal visualization of the fetal anatomy is achieved, which is crucial for accurate assessment. After the saline infusion is complete, the needle is withdrawn, and a detailed ultrasound examination of the fetus is conducted to evaluate its anatomy and well-being. This comprehensive approach ensures that the procedure meets its intended goals effectively.
After the completion of the transabdominal amnioinfusion, the patient is monitored for any immediate complications or adverse effects. This monitoring may include checking vital signs and assessing for any signs of discomfort or distress. The healthcare team may also perform follow-up ultrasounds to ensure that the fetal anatomy remains well-visualized and to monitor the overall health of the fetus. Depending on the patient's condition and the outcomes of the procedure, further evaluations or interventions may be necessary. It is essential to provide the patient with appropriate post-procedure care instructions and to schedule any required follow-up appointments to ensure ongoing assessment and support.
| Short Descr | TRANSABDOM AMNIOINFUS W/US | Medium Descr | TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE | Long Descr | Transabdominal amnioinfusion, including ultrasound guidance | Status Code | Active Code | Global Days | 000 - Endoscopic or 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) | 2 - Payment restriction for assistants at surgery does not apply 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 | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 2 | CCS Clinical Classification | 141 - Other therapeutic obstetrical procedures |
| 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). |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2004-01-01 | Added | First appearance in code book in 2004. |
Get instant expert-level medical coding assistance.