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Uterine Explora
Endocervical Curette
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Endocervical Curette with Vacu-Lok Syringe

Billing Information:
CPT Code: Procedure: 57505
Supplies: 99070

Milex Code: 111

Histology:
8" nylon endocervical curette. Vacu-Lok Syringe

   

  Latex Free
Endocervical Curette

Abbreviated Information:

Nylon redesigned endocervical curette for obtaining histologic tissue samples from the endocervical canal for early detection of endocervical carcinoma.

Indications:

  1. Abnormal cervical cytology
  2. High risk for cervical cancer
    1. Young age at first coitus
    2. Multiple sexual partners
    3. Young age at first pregnancy
    4. History of papilloma virus particularly in a smoker
  3. Post colposcopy
  4. Prior to laser treatment for CIN to ensure lesion is solely endocervical and not invasive cancer

Advantages of Milex ECC vs. Metal Curette:1

  • Less painful
  • Does not compromise quality or quantity of tissue sample
  • Less bleeding
  • Improved patient compliance
  • Metal instruments dull with usage, increasing pain to patient and excessive bleeding
  • Syringe holds specimen in narrow lumen of curette, reducing the deterioration of the specimen and time spent locating tissue sample in the vaginal vault.

Limitations:

  • For diagnosis of endocervical pathology only
  • Preferable not to do ECC immediately preceding a cone biopsy (may prevent an accurate assessment of the cone-tipped margin2)

Contraindications:

Pregnancy - The presence of any vaginal, cervical, and/or pelvic infection(s). Infections must be treated prior to any endocervical curettage or biopsy.

For third-party reimbursement, include diagnostic criteria:

  1. Abnormal cervical cytology
  2. High risk for cervical cancer
    1. Young age at first coitus
    2. Multiple sexual partners
    3. Young age at first pregnancy
    4. History of papilloma virus particularly in a smoker
    5. Smokers
  3. Post colposcopy
  4. Prior to laser, cryosurgery, or LEEP treatment for CIN to ensure lesion is solely cervical and not invasive carcinoma

Packed:

  • Box of 10 or 25 sets
  • (Endocervical Curette, Vacu-Lok Syringe)
  • Informed Consent Forms enclosed
  • Complete instructions enclosed within each box
1A Comparison Study of Pain Associated with Endocervical Sampling techniques. O.A. Rust, M.D.; J.R. Allbert, M.D.; T.R.B. Davis, M.D.; B. Ribbick, M.S.
2Michell Jr., D.R. & Brenner, P.F.; Management of Common Problems in Obstetrics & Gynecology: Preinvasive Disease of the Lower Genital tract, pages 411-412; 1988.


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