Transabdominal Cerclage

Transabdominal cerclage is covered for cervical incompetence (ICD‑10 N88.3) when there is a deeply traumatized, shortened (<2.5 cm) or amputated cervix, prior failed transvaginal cerclage, or when placed preconception via laparoscopy/laparotomy. It is considered experimental/investigational for all other indications (including prophylactic use in multiple gestations), and coverage requires documented history consistent with cervical incompetence (e.g., mid‑trimester painless cervical dilatation), performance by a physician with specialized training, and correct CPT/ICD coding.

"CPT codes covered if selection criteria are met: 59325 (Cerclage of cervix, during pregnancy; abdominal)"

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