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The procedure described by CPT® Code 59076 involves the placement of a fetal shunt, which is a medical intervention performed under ultrasound guidance. This procedure is primarily indicated for the treatment of conditions such as pleural effusion, where excess fluid accumulates in the fetal thorax, or bladder obstruction, where fluid builds up in the fetal bladder. The shunt serves as a conduit that drains this excess fluid into the amniotic cavity, thereby alleviating pressure and potential complications for the developing fetus. The process begins with the selection and sterilization of the shunt and the necessary insertion instruments. To ensure patient comfort, a local anesthetic is administered to the maternal abdominal wall and fascia prior to the procedure. Continuous ultrasound guidance is utilized throughout the intervention to accurately navigate the trocar into the maternal abdomen, uterus, and subsequently into the fetal thorax or bladder. The placement of the catheter is carefully executed, with confirmation of correct positioning achieved through ultrasound imaging. Following the procedure, both the patient and fetus are monitored, and additional imaging may be performed to ensure proper drainage of the thorax or bladder. The physician concludes the procedure by discussing the outcomes with the patient and preparing a comprehensive written report detailing the intervention and its results.
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The fetal shunt placement procedure is indicated for specific conditions that necessitate intervention to alleviate fluid accumulation in the fetus. The following are the primary indications for this procedure:
The procedure for fetal shunt placement involves several critical steps to ensure successful intervention. Each step is performed with precision and under continuous ultrasound guidance to ensure the safety and effectiveness of the procedure.
Post-procedure care involves monitoring the patient and fetus to ensure that there are no immediate complications following the shunt placement. The physician may conduct follow-up imaging to confirm that the thorax or bladder is draining effectively and that the fetus is stable. It is essential to observe for any signs of distress or complications that may arise after the procedure. The physician will also discuss the results of the procedure with the patient, providing information on the next steps and any necessary follow-up care. Documentation of the procedure and its outcomes is crucial for medical records and future reference.
Short Descr | FETAL SHUNT PLACEMENT W/US | Medium Descr | FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE | Long Descr | Fetal shunt placement, 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 |
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2011-01-01 | Changed | Short description changed. |
2004-01-01 | Added | First appearance in code book in 2004. |