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The CPT® Code 59120 refers to the surgical treatment of an ectopic pregnancy, which occurs when a fertilized egg implants outside the uterus, most commonly in the fallopian tube or ovary. This procedure involves a surgical approach, either abdominal or vaginal, to access the affected area. During the operation, an incision is made to expose the fallopian tube and/or ovary, allowing the surgeon to excise the ectopic tissue. In cases of ovarian ectopic pregnancy, the procedure entails carefully dissecting the ovary from surrounding tissues and removing it. For tubal ectopic pregnancies, the surgeon clamps the fallopian tube between the uterus and the ectopic site, divides the pedicle, and ligates it with sutures. The tubo-ovarian artery is also clamped, cut, and ligated to prevent excessive bleeding. The affected fallopian tube is then dissected free and removed. This surgical intervention is critical for the health and safety of the patient, as ectopic pregnancies can lead to severe complications if not treated promptly.
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The procedure described by CPT® Code 59120 is indicated for the surgical treatment of ectopic pregnancies, specifically when the ectopic tissue is located in the fallopian tube or ovary. The following conditions warrant this surgical intervention:
The surgical procedure for CPT® Code 59120 involves several critical steps to ensure the safe removal of ectopic tissue. The following procedural steps are performed:
After the surgical procedure, patients are monitored for any signs of complications, such as bleeding or infection. Recovery may involve pain management and follow-up appointments to ensure proper healing. The surgical site will typically be assessed for any signs of infection or abnormal healing. Patients are advised on activity restrictions and signs to watch for that may indicate complications. The overall recovery time can vary based on the individual and the extent of the surgery performed.
| Short Descr | TREAT ECTOPIC PREGNANCY | Medium Descr | TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR | Long Descr | Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach | Status Code | Active Code | Global Days | 090 - Major Surgery | 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) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 122 - Removal of ectopic pregnancy |
| 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). | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | GC | This service has been performed in part by a resident under the direction of a teaching physician | RT | Right side (used to identify procedures performed on the right side of the body) |
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| Pre-1990 | Added | Code added. |
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