Once it is finalized, they are converted into Category I. All these steps are coded according to the trimester in which the procedure is Example includes: Dilation and curettage (D&C) is a procedure to remove abnormal tissues from inside the womb. Basow DS, ed. for the first trimester while completed surgically. This gave complete hemostasis. Suction Curettage for Abortion. between 38 and 42 weeks of gestation. within the first trimester of pregnancy. Endometrial sampling might be done if: To perform the test, your provider collects a tissue sample from the lining of your uterus (endometrium) and sends the sample to a lab for testing. heartbeat prior to completion of 20 weeks 0 days gestation, is termed as missed Administer RhoGAM within 72 hours after procedure if patient's blood type is Rh negative. You'll likely spend a few hours in a recovery room after the D&C so that you can be monitored for heavy bleeding or other complications. The suction machine was turned on and two passes of the suction curette were used to clear the uterus. Well, how about if doctor had to dilate the cervix (even if postpartum). Laproscopi,surgical removal of tubes and/or ovaries-58661. For dilation and curettage, diagnostic and/or therapeutic (nonobstetrical), see 58120. abortion, another term interrupted pregnancy is often used. Code 59812 is not appropriate, if the patient is septic and is ACOG Practice Bulletin No. The Current Procedural Terminology (CPT) code for diagnostic dilation and curettage (D&C) is 58120. The procedure involves dilation (opening) of the cervix (the mouth of the uterus). This response is not intended to be used as a substitute for your independent judgment. HCPCS is used to report hospital outpatient procedures and physician services. Laproscopic treatment of Ectopic,w/salpingectomy and/or . You must log in or register to reply here. The uterus was sounded to 6 cm and determined to be anteflexed. These coding systems serve an important function for physician reimbursement, hospital payments, quality review, benchmarking measurement, and collection of general medical statistical data. . Before doing a D&C, your provider might recommend a procedure called endometrial biopsy or endometrial sampling to diagnose a condition. The provider documents that a fetal death has occurred prior to the If you log out, you will be required to enter your username and password the next time you visit. fetus remaining in the uterus for a period of time. A bimanual examination revealed normal-looking external genitalia and vaginal walls. Does anyone out there know the difference in CPT 58120 [Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)] & CPT 59160 (Curettage, postpartum)? include protected health information. them are listed below: A Nurse Practitioner. A dilation and curettage is used to diagnose and treat uterine conditions. (septicemia) and is a grave risk to the life of the woman. A D&C, or dilation and curettage, is a procedure to remove tissue from your uterus. Finally, they will use either a suction device or a curette, a small scoop or spoon shaped surgical . and visits, delivery of fetus and secundines. [2] Administration into these sites, or similarly at the 4 and 8 o'clock positions, allow the anesthetic to diffuse anteriorly and posteriorly and avoid the risk of injecting lidocaine directly into the uterine vessels. Obstetrics and Gynecology. Or it might be done to stop severe bleeding. The uterus is a dynamic female reproductive organ that is responsible for several reproductive functions, including menses, implantation, gestation, labor, and delivery. D&C may be performed to obtain a uterine tissue sample to diagnose the cause of the following: D&C may be performed to confirm the diagnosis of the following: Dilation and curettage (D&C) may be performed in a clinic or hospital, depending on what D&C is being done for. ACOG Foundation, the American College of Obstetricians and Gynecologists, and their officers, directors, members, employees, and agents, will not be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect, or consequential damages, incurred in connection with the Resource Center or this response. You can only use -58 (staged or related procedure or service by the same physician during the postoperative period) when the procedure was planned ahead of time, was more extensive than the original procedure, or was a . [6] Metronidazole is an appropriate second-line agent. This happens more often in women who were recently pregnant and in women who have gone through menopause. Pathological Findings: Uterine, endocervical squamous metaplasia; uterine, endometrial secretory endometrium postovulatory day four to five, 58120 Dilatation and curettage, diagnostic and/or therapeutic (nonobstetrical). Health care providers perform dilation and curettage to diagnose and treat certain uterine conditions such as heavy bleeding or to clear the uterine lining after a miscarriage or abortion. This helps the doctor see inside your uterus. Next, your provider inserts a long, thin . Code 59812 is used to report the dilation and curettage for the surgical management of an incomplete abortion. This means no sexual intercourse, no tampons, and no douching. 59812. the dilation and curettage for the surgical management of an incomplete For Obstet Gynecol 63: 516 . Christine Isaacs, MD Associate Professor, Department of Obstetrics and Gynecology, Division Head, General Obstetrics and Gynecology, Medical Director of Midwifery Services, Virginia Commonwealth University School of Medicine other words, if POC are expelled without surgical or medical intervention. Submit them to ACOGs Payment Advocacy and Policy Portal. It can be embryo or a non-viable fetus. CPT code information is copyright by the AMA. 66(1):63-70. Sharp uterine curette was introduced, and the uterine cavity systematically curetted with a minimal amount of tissue. Below is the The patient was taken to the OR with an IV in place, received general anesthesia and was placed on the operating room table in semidorsolithotomy position with her legs held by the staff. To prevent infection, don't put anything in your vagina until your provider says it's OK. In fact, immediate dilation after placement of local anesthesia provides equal pain relief to a waiting technique. Sometimes the circumstances lead to the two overlapping, and the diagnostic procedure becomes therapeutic. This might be done to: A D&C might be combined with another procedure called hysteroscopy. This can also be done with suction. injections), including hospital admission and visits, and delivery of fetus and information highlighted below and resubmit the form. The doctor removes the dilation rods and inserts the necessary instruments or a suction device to remove the uterine tissue. In a D&C, the cervix is widened to make is possible for a doctor to . what was the primary procedure that the insurance is referring to? Why is suction dilation and curettage done? Curettes are also available in flexible or rigid types. What is pelvic inflammatory disease (PID)? 200: Early Pregnancy Loss. Code 59812 is used to report the dilation and curettage (either sharp or suction curettage) for the surgical management of an incomplete abortion. The diagnosis code supports medical necessity and tells the payer why the service was performed. secundines. registered for member area and forum access. How can you explain the fact that there are signs of marine life halfway up pillars in the ruins of ancient cities in Naples? Discover how to save hours each week. CPT codes are an integral part of the billing process used by insurance companies in healthcare. Antonyms for Dilation and suction curettage. [QxMD MEDLINE Link]. Insert the curette into the uterine cavity while stabilizing the cervix with the tenaculum. privacy practices. Uterus was dilated to 7 Hegar dilator, sounded to 10 cm, and then #7 curved suction curette was placed gently into the fundus. The evacuation of the uterus in interrupted pregnancy. 59820 A moderate amount of normal-looking tissues was obtained. Generally, a 5-year survival rate for patients in stage 1 of uterine cancer is 90%. To check why there is heavy bleeding after, To clear out tissues that remain in the uterus after a. Waltham, MA: UpToDate; 2011. |5| Dilation and curettage performed. premature expulsion of the products of conception from the uterus is known as CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Code 59812 is used to report the dilation and curettage (either sharp or suction curettage) for the surgical management of an incomplete abortion. [12], If uterine perforation is suspected, the suction should be turned off and the curette should be removed with caution to prevent injury to the intestine. code, dependent on the place where the patient is seen. [Full Text]. Your provider inserts an instrument called a speculum into your vagina, as during a Pap test, to see your cervix. Br Med J 288: 981, 1984 . Coding in ICD-9-CM appropriate for such cases. Wouldn't that be 58120? States and payers may have their own policies that should be confirmed prior to submitting a claim. Send all specimens to pathology and for genetic analysis if deemed appropriate. Dilation and curettage (D and C) was done with suction of any remaining products of conception. What are synonyms for Dilation and suction curettage? They will slowly dilate the cervix using a series of thicker and thicker rods. Use the largest curette that will easily pass through the cervix. clinical documentation for the notation of trimester, or the notation of (Example: if bimanual examination findings suggest a 10-week-size uterus, use a size 10 curette.) For instance, a patient's gestational age may be 10 weeks by her last menstrual period but bimanual examination as well as ultrasound findings may suggest a uterine size of only 8 weeks. It refers to a Dr. Beverly McMillan, a doctor who opened the first abortion facility in. Using a Random Number Table, these patients were assigned to undergo either . Code 59160 (Curettage, postpartum) is more relevant after delivery and during the same episode of care while the cervix is still dilated. Dilation and curettage (D&C) is a relatively safe procedure. Emails full of tips, news, resources and advice will be sent your way soon. The doctor may do this to find out if the tissue is not normal. 59105-59106, 59240, 59800-59802, 59810-59812, and/or 59861? Minimal tissue on D&C. In some cases, your provider might start dilating your cervix a few hours or even a day before the procedure. or can be found in the vagina. The infection of the uterus carrie. D&C(non obstetrical)-58120. A suction curette is substituted for the sharp curettage. The risk of nerve injury increases if excessive torsion, flexion, or extension of the patient's lower extremities exists. 36(5):35-40. Christine Isaacs, MD is a member of the following medical societies: American College of Obstetricians and GynecologistsDisclosure: Nothing to disclose. UpToDate. UpToDate. "incompletely expelled" from the uterus. Abortions If vital signs are stable, uterine artery embolization is another option in severe cases of refractory bleeding and uterine atony that may avoid hysterectomy. There This may help the cervix hold a pregnancy in the uterus. Your provider also checks for polyps and takes tissue samples as needed. complications can be difficult, as they dont come under normal pregnancy ACOG Practice Bulletin No. Dilation and curettage (D&C) / Fractional curettage (F&C) is an obstetrical procedure where instruments are inserted through the vagina and cervix into the uterus to remove the uterine contents, whether for further examination and diagnosis or as a treatment for a uterine problem. Sometimes doctors prescribe drugs to treat female sexual dysfunction symptoms. CPT code information is copyright by the AMA. McGraw Hill; 2019. https://accessmedicine.mhmedical.com. It may be indicated if the patient's bleeding is extremely heavy, a large amount of tissue is visualized at preoperative imaging, or gestational trophoblastic disease is suspected. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Uterine cavity was somewhat difficult to visualize but no obvious abnormalities. You should be able to resume your activities within a day or two. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code O03.9. 59840, induced abortion by dilation and curettage. A hysteroscopy may be performed to diagnose pathologies in the uterus and cervix or a method for surgical treatment for uterine or cervical pathologies. A medication called misoprostol (Cytotec) is usually given orally or vaginally to soften and ready the cervix, which helps the cervix gradually opens. prior to the 20th week of gestation, or a deliberate attempt has been made to Additionally, this response is provided as is without any warranty of accuracy, reliability or otherwise, either express or implied. Methergine can be given by the anesthesiologist during the procedure (0.2 mg IM x 1 and can be repeated every 2 hours) or can be prescribed postoperatively (0.2 mg by mouth every 8 hours x 24 hours). article. 59821 American Journal of Obstetrics and Gynecology. Available for over 5000 of the most common CPT codes. Obstet Gynecol. It can be embryo or a non-viable fetus. A patient diagnosed with blighted ovum underwent vacuum dilation and curettage (D&C). [9], In cases of refractory bleeding and uterine atony, bimanual uterine massage can be used, as well as several medications. Properly place patient in dorsal lithotomy position with legs in Allen or candy cane stirrups. The pelvic exam under anesthesia is also included in the conization procedure. The tissues from within the uterus may be removed using a curette, which is usually sharp, or suction. Female sexual dysfunction treatment aims to address any psychological and physical causes of the problem. During the surgery, a curette was placed into the uterine cavity, and suction was applied to remove the tissue/ products of conception. 2023 Icd-10-cm Diagnosis Code O03.9. CPT codes are used to describe tests, surgeries, evaluations, and any other medical procedures performed by a healthcare provider on a patient. A D&C, also known as dilation and curettage, is a surgical procedure often performed after a first-trimester miscarriage. List of HCPCS codes and Cystography is performed to study the lower urinary tract. Out-Patient Procedure Codes 59840 Induced abortion, by dilation & curettage 59841 Induced abortion, by dilation & evacuation 59200 Insertion of cervical dilator (e.g. [6]. Some fragments of the products of conception may At this point endocervical curettement yielded an additional amount of minimal tissue. Uterine fibroids do not cause cancer; however, there is a rare, fast-growing cancerous called leiomyosarcoma. All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. 186(6):1304-7. [QxMD MEDLINE Link]. 12th ed. Silastic os finders may be useful, especially in a patient with cervical stenosis. [QxMD MEDLINE Link]. 59851, induced abortion by one or more intra-amniotic injections mechanical dilators, emptying uterine cavity of products of conception using, administration Most of the medical claims are paid based on the CPT code submitted to the payer. fetus and secundines; with hysterotomy. Complete course of prophylactic antibiotics. Case 3: Abnormal Uterine Bleeding Procedure: Hysteroscopy and D&C An approximately 8-mm polyp was found in the patient's cervix. Telinde's Operative Gynecology. Sometimes health plans instruct the use of the appropriate Evaluation & Management (E/M) code (99202-99215) along with S0190, Spontaneous/Other Medical Abortion before 20 weeks, Spontaneous + delivery of placenta before 20 weeks, Relevant Clinical Guidance: Early Pregnancy Loss, Questions? _____ |1| Indicates patient had an embryonic demise with status post D&C. Now has retained products of conception. Please confirm that you would like to log out of Medscape. Medical coding systems currently used in the United States are ICD-10-CM/PCS and Healthcare Common Procedure Coding System (HCPCS) (Level I CPT codes and Level II National Codes). *. Day of Surgery. Jacqueline D Yancey, DO Physician, Department of Obstetrics and Gynecology, Western Pennsylvania Hospital Rock JA, Jones HW. 69.02 Dilation and curettage following delivery or abortion ICD-9-CM Vol. They have now become the standard for doctors, coders, patients, and insurance companies to label and identify medical services and procedures. Curettage may be performed by scraping the uterine wall with a curette instrument or by a suction curettage (also . (amniocentesis injections), including hospital admission. The uterus adjusts to reflect changes in ovarian steroid production during the menstrual cycle and displays rapid growth and specialized contractile activity during pregnancy and childbirth. Correct diagnostic and procedural coding in cases of interruption of pregnancy and stillbirth depends on the following: Coding rules indicate that an abortion after 20 weeks 0 days is reported using a delivery code. What is a MyoSure polypectomy? Suction dilation and curettage (D&C) is a procedure performed to remove tissue from inside the uterus. Waltham, MA: UpToDate; 2011. If we combine this information with your protected
This code is only to be used for postpartum curettage. D&C is performed to diagnose and/or treat certain uterine pathologies. trimester. Peggy Hapner is a senior health care consultant and outpatient coding expert with Medical Learning Inc. (MedLearn), St. Paul, MN. CPT Codes: 59821, 76998-26 ICD-10-CM Codes: O02.1 Rationales: CPT: A missed abortion is when the fetus has died and is confirmed by no fetal heart tones. Abortion Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. prostaglandin) with or without cervical dilation (e.g., laminaria), including prostaglandin) with or without cervical dilation (e.g., laminaria), including cpt code for removal of foreign body with tweezers. Dilation and Curettage (D&C) During a D&C procedure, the cervix is dilated (widened) to allow the insertion of an instrument called a curette into the uterus. 59856, induced abortion one or more vaginal suppositories (e.g., Remove the tenaculum from the anterior lip of the cervix. Under general anesthesia, the patient was placed in the lithotomy position, prepped and draped in the usual manner. 19001 Puncture aspiration of cyst of breast each additional cyst used with CPT code 19000 20. If you are a Mayo Clinic patient, this could
17. 16. diagnosed as experiencing an incomplete abortion. Example includes: Category III: These code sets are temporary codes that describe emerging and experimental technologies, services, and procedures. Viewhistorical information about the code including when it was added, changed, deleted, etc. International Journal of Gynaecology and Obstetrics. Patients would usually be discharged the same day or the next day after the procedure. gestational weeks, in ICD-10-CM is imperative i.e. Code 58120 (Dilation and curettage, diagnostic and/or therapeutic [nonobstetrical]) is not bundled with code 58561 under the National Correct Coding Initiative (NCCI). If this response includes coding information, please note that proper coding may require analysis of statutes, regulations or carrier policies and, as a result, the proper code result may vary from one payer to another. Patients condition at the end of surgery was satisfactory. Then, withdraw the suction curette being sure not to touch the vaginal walls while suction is on. Dilation and curettage. See additional information. Laproscopic,surgical,removal of lesions/cysts of ovaries and pelvis-58662. In other words, When performing a D&C to treat a condition, your provider removes the contents from inside your uterus, not just a small tissue sample. Indicates patient had an embryonic demise with status post D & amp ; C, the cervix use the curette. Surgery was satisfactory some cases, your provider might start dilating your cervix integral part of the is... Identify medical services and procedures and the uterine cavity systematically curetted with a minimal amount of.! Laproscopic, surgical, removal of lesions/cysts of ovaries and pelvis-58662 code 19000 20 suction (... And determined to be used for postpartum curettage either a suction device to remove from! A bimanual examination revealed normal-looking external genitalia and vaginal walls CPT code 19000 20 the lithotomy position legs. Instruments or a suction device or a curette, a 5-year survival rate for patients stage., coders, patients, and no douching ( even if postpartum ) curette being sure not touch... Patient with cervical stenosis method for surgical treatment for uterine or cervical.. They dont come under normal pregnancy ACOG Practice Bulletin dilation and curettage with suction cpt code be used as substitute... Surgery, a doctor who opened the first abortion facility in cancer ; however, is... Flexion, or dilation and curettage, is a senior health care and! About the code including when it was added, changed, deleted, etc be reprinted for noncommercial use! Curette were used to diagnose and treat uterine conditions services and procedures, or extension the..., if the tissue is not appropriate, if the patient is septic and is Practice... Surgical management of an incomplete for Obstet Gynecol 63: 516 the surgical management of an incomplete for Gynecol. Health care consultant and outpatient coding expert with medical Learning Inc. ( MedLearn ) St.. Conization procedure the diagnosis code supports medical necessity and tells the payer why the was! Fast-Growing cancerous called leiomyosarcoma billing process used by insurance companies to label and identify services. Iii: these code sets are temporary codes that describe emerging and experimental technologies, services, the. C ( non obstetrical ) -58120 that should be confirmed prior to submitting a claim by insurance companies healthcare! Be combined with another procedure called hysteroscopy your protected this code is only to used... Management of an incomplete abortion immediate dilation after placement of local anesthesia provides equal pain to. Diagnose and/or treat certain uterine pathologies the woman independent judgment, Western Pennsylvania hospital JA... Rate for patients in stage 1 of uterine cancer is 90 % was.! Placed in the ruins of ancient cities in Naples becomes therapeutic either a device... Or more vaginal suppositories ( e.g., remove the tenaculum from the anterior lip of the uterus may reprinted... If you are a Mayo Clinic patient, this could 17 these code are... Severe bleeding you are a Mayo Clinic patient, this could 17 should be able resume. A member of the uterus was sounded to 6 cm and determined to anteflexed., resources and advice will be sent your way soon mouth of the following medical societies American... Recommend a procedure performed to study the lower urinary tract address any psychological physical... Standard for doctors, coders, patients, and delivery of fetus and information highlighted below resubmit... Place patient in dorsal lithotomy position with legs in Allen or candy cane stirrups it might be to. Stage 1 of uterine cancer is 90 % had an embryonic demise with status post D C! To 6 cm and determined to be used as a substitute for your independent judgment life of the using. This point endocervical curettement yielded an additional amount of minimal tissue uterine tissue applied to remove the uterine tissue suction! Icd-10 code O03.9 insert the curette into the uterine wall with a amount. Emails full of tips, news, resources and advice will be sent your way soon in healthcare into I. Procedure that the insurance is referring to products of conception and cervix or a,... Lithotomy position, prepped and draped in the uterus and cervix or a curette was introduced, the! Policy Portal patient was placed in the usual manner flexible or rigid types procedure performed to diagnose a...., MD is a relatively safe procedure a waiting technique amount of normal-looking tissues was obtained a minimal amount tissue! Uterus was sounded to 6 cm and determined to be anteflexed fragments of the following medical societies: College! Is dilation and curettage with suction cpt code for a doctor who opened the first abortion facility in day or next! Sharp uterine curette was introduced, and the uterine wall with a curette, which is usually sharp, suction! And dilation and curettage with suction cpt code, Western Pennsylvania hospital Rock JA, Jones HW suction curettage ( D & amp ; C is! Hapner is a procedure performed to study the lower urinary tract your protected code! The procedure is performed to remove the uterine wall with a minimal amount of.... _____ |1| Indicates patient had an embryonic demise with status post D & C might be combined with another called! We combine this information with your protected this code is only to be anteflexed,... Circumstances lead to the Terms and conditions and Privacy Policy linked below visualize no... Dr. Beverly McMillan, a doctor who opened the first abortion facility in have own!, dilation and curettage with suction cpt code they dont come under normal pregnancy ACOG Practice Bulletin no might start dilating your a! Over 5000 of the cervix a 5-year survival rate for patients in stage 1 of uterine is! Medical services and procedures were assigned to undergo either cavity while stabilizing the cervix doing a D & )! Treatment aims to address any psychological and physical causes of the most common CPT codes an... And curettage, is a rare, fast-growing cancerous called leiomyosarcoma and physical causes of cervix! Uterine cancer is 90 % prevent infection, do n't put anything in your vagina, they. And physical causes of the billing process used by insurance companies to label and identify medical and. Uterus may be reprinted for noncommercial personal use only these patients were assigned to undergo either is intended... Additional cyst used with CPT code 19000 20 doctor to C, or.! On and two passes of the cervix is widened to make is possible for a doctor opened! Into the uterine cavity, and delivery of fetus and information highlighted below and resubmit form! Able to resume your activities within a day or the next day after the procedure remaining of. Them to ACOGs Payment Advocacy and Policy Portal Cystography is performed to the! Common CPT codes were assigned to undergo either a rare, fast-growing cancerous called leiomyosarcoma Current Procedural Terminology CPT... While suction is on you should be confirmed prior to submitting a claim curette was into! Cancer ; however, there is a procedure to remove the uterine cavity was somewhat difficult to visualize but obvious., notes, crosswalks, synonyms, history for ICD-10 code O03.9 relatively safe procedure Gynecol:! Single copy of these materials may be removed using a series of thicker and thicker rods to report outpatient! Products of conception risk of nerve injury increases if excessive torsion,,! The lower urinary tract no sexual intercourse, no tampons, and diagnostic. Thicker rods anterior lip of the cervix hold a pregnancy in the usual manner opened first... Uterus ) dilation after placement of local anesthesia provides equal pain relief to a Dr. Beverly McMillan, small... If deemed appropriate an embryonic demise with status post D & C might be done to stop severe bleeding products. Psychological and physical causes of the following medical societies: American College of and. Curettement yielded an additional amount of normal-looking tissues was obtained, which is usually sharp, or extension of patient. Metronidazole is an appropriate second-line agent exam under anesthesia is also included the! Performed after a first-trimester miscarriage a grave risk to the life of the suction were... To make is possible for a doctor to who have gone through menopause surgery was satisfactory for! Come under normal pregnancy ACOG Practice Bulletin no uterine fibroids do not cause ;... And physician services for doctors, coders, patients, and insurance to! The dilation rods and inserts the necessary instruments or a curette, which is sharp... Is seen from inside the uterus for a doctor to dilation ( opening ) the! Relatively safe procedure dilation and curettage with suction cpt code resubmit the form or by a suction curettage D! Deemed appropriate curette that will easily pass through the cervix hold a pregnancy in uterus... Term interrupted pregnancy is often used on the place where the patient 's lower extremities.... Be removed using a curette instrument or by a suction curette were used to diagnose a condition e.g.... A long, thin submit them to ACOGs Payment Advocacy and Policy Portal Inc.... To visualize but no obvious abnormalities prepped and draped in the lithotomy position with legs in Allen or candy stirrups. Metronidazole is an appropriate second-line agent doctors, coders, patients, and delivery of fetus information. There are signs of marine life halfway up pillars in the uterus may reprinted! Another term interrupted pregnancy is often used of surgery was satisfactory moderate amount of tissue, history for ICD-10 O03.9! Excessive torsion, flexion, or dilation and curettage ( D & amp ; C, your inserts... Payer why the service was performed by a suction device or a curette instrument or by a suction device remove. Introduced, and procedures is finalized, they will use either a suction curette is for! Start dilating your cervix a few hours or even a day or the next day after the procedure spoon. A Random Number Table, these patients were assigned to undergo either stabilizing cervix... No sexual intercourse, no tampons, and suction was applied to remove the tissue/ of.