A 36-year-old woman with a history of multiple complicated ectopic pregnancies presented to her OB/GYN’s office. She took an at-home pregnancy test two weeks ago, which was positive, and experienced a heavy bleed in the middle of the night last night. She presented this morning with complaints of excessive vaginal bleeding and pain in the abdominal area. After confirmation of the pregnancy via urinalysis, the physician performed a pelvic examination. After examination, the OB suspected that the pregnancy was ectopic and ordered an ultrasound confirmation. The ultrasound confirmation, performed later that day, showed an advanced interstitial uterine ectopic pregnancy. The estimated age of the pregnancy was 12 weeks. The OB discussed the risks of the ectopic pregnancy with the patient, who then decided to have an excision of the ectopic pregnancy and a total hysterectomy. The OB spent 45 minutes counseling the patient and the patient was scheduled for an abdominal hysterectomy in two days.
How should the OB code for the procedure performed in the office?
