Summary & Overview
CPT 59160: Postpartum Endometrial Curettage, Vaginal Approach
CPT code 59160 represents postpartum endometrial curettage performed via a vaginal approach to scrape the uterine lining after childbirth. This procedure addresses retained placental tissue, uterine bleeding, or other postpartum complications that require removal of endometrial contents to prevent hemorrhage or infection. Nationally, accurate coding of this service affects clinical documentation, inpatient and outpatient billing workflows, and quality reporting for obstetric care.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for using 59160, typical sites of service, common modifiers associated with the code, and how the code fits into obstetric service lines. The publication also highlights benchmarks and policy-relevant considerations that influence coverage and payment for postpartum uterine procedures.
This release provides clinicians, coding professionals, and policy analysts with concise information on when CPT code 59160 is applicable, the procedural setting, and the broader implications for hospital and ambulatory surgical billing. Data not available in the input is noted where applicable.
Billing Code Overview
CPT code 59160 describes the procedure in which a provider scrapes the endometrial lining of the uterus following childbirth. The procedure is performed using a vaginal approach.
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Service type: Postpartum uterine curettage (endometrial scraping)
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Typical site of service: Inpatient or outpatient hospital setting or ambulatory surgical center, using a vaginal approach
Clinical & Coding Specifications
Clinical Context
A typical patient is a postpartum woman within 24–48 hours after vaginal delivery who has retained placental tissue or excessive uterine bleeding. The clinician evaluates ongoing bleeding, uterine tenderness, and ultrasound showing retained products of conception. After informed consent, the patient is taken to a procedure room or operating room; regional or general anesthesia is administered as indicated. A speculum and bimanual exam are performed, and the provider performs uterine curettage via a vaginal approach to scrape the endometrial lining and remove retained tissue to control hemorrhage and prevent infection. Recovery includes monitoring vital signs, uterine tone, bleeding, and pain control before discharge or transfer to postpartum care.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier required for global reporting by some payors | Rarely used; included in supplied list but not typically appended clinically |
22 | Increased procedural services | When work, time, and complexity substantially exceed typical for 59160 |