CPT® Code 0072T

Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue

The procedure described by CPT® Code 0072T involves the focused ultrasound ablation of uterine leiomyomata, commonly known as uterine fibroids, utilizing magnetic resonance (MR) guidance. This advanced technique is designed for cases where the total volume of leiomyomata is 200 cc or greater. Focused ultrasound ablation is a noninvasive treatment option that employs high-intensity focused ultrasound (HIFU) to target and destroy fibroid tissue while minimizing risks associated with traditional surgical methods. The integration of MR imaging allows for precise guidance and monitoring throughout the procedure, ensuring that the treatment is accurately directed at the fibroids. Prior to the ablation, a three-plane localizer MR scan is conducted to confirm the correct positioning of the patient on the treatment table, facilitating the identification of the target fibroid. The procedure is performed under conscious sedation, allowing the patient to remain awake and communicate any sensations during the treatment. This method not only enhances patient safety but also provides the physician and assistant with the ability to respond quickly to any concerns. The use of continuous MR imaging during the sonication process enables the physician to concentrate a high-energy ultrasound beam on the fibroid, effectively raising its temperature to between 60-80 degrees Celsius, leading to the destruction of the fibroid tissue. If multiple fibroids are present, the procedure is repeated for each leiomyoma until all targeted tissues are ablated.