What Is the CPT Code for Dilation and Curettage (D&C)?

Dilation and Curettage (D&C) is a common gynecological procedure used for diagnostic and therapeutic purposes, such as evaluating abnormal uterine bleeding, obtaining endometrial samples, or treating incomplete miscarriages. Accurate coding is essential for proper reimbursement and compliance in medical billing.

 Understanding CPT Code 58120

The Current Procedural Terminology (CPT) code 58120 is designated for:

  • Diagnostic D&C: Performed to obtain endometrial tissue for pathological diagnosis.
  • Therapeutic D&C: Conducted to treat conditions like abnormal uterine bleeding or to clear the uterine lining after a miscarriage.

This procedure involves cervical dilation to access the uterine cavity, where a curette is used to remove tissue. It’s crucial to document the necessity for dilation, especially in cases like cervical stenosis, to justify the use of this code. (Southlake OBGYN & Advanced Surgery)

 Differentiating Related CPT Codes

Procedure Type CPT Code Description
Endometrial biopsy without dilation 58100 Obtaining a tissue sample without cervical dilation.
Endometrial biopsy with dilation 58120 Obtaining a tissue sample with cervical dilation (D&C).
Postpartum curettage 59820 Surgical treatment of missed abortion in the second trimester.

 Clinical Indications for D&C

A D&C may be indicated for:

  • Abnormal uterine bleeding
  • Uterine polyps or fibroids
  • Incomplete or missed miscarriage
  • Postmenopausal bleeding
  • Retained products of conception

Proper documentation of these indications is essential for accurate coding and reimbursement.

 Learn More About Medical Coding

For more insights into medical coding and billing, consider exploring the following resources:

For healthcare providers seeking assistance with medical coding and billing, EZ Settle Solutions offers expert services to streamline your revenue cycle management.

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