CPT® Code 0193T

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Transurethral, radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence

The procedure described by CPT® Code 0193T involves a specialized technique known as transurethral radiofrequency micro-remodeling, specifically targeting the female bladder neck and proximal urethra. This intervention is primarily indicated for the treatment of stress urinary incontinence, a condition often resulting from hypermobility of the bladder neck. During the procedure, a physician utilizes low-temperature radiofrequency energy to effectively remodel the submucosal tissue within the bladder neck and urethra. This remodeling process is designed to enhance the function of the urinary tract without leading to any narrowing or thickening of the lumen, which is crucial for maintaining normal urinary flow. To initiate the procedure, a local anesthetic is administered to ensure patient comfort. Following this, a transurethral probe is carefully inserted into the urethra. The physician then applies controlled radiofrequency energy to specific target sites within the lower urinary tract. This application of energy results in collagen denaturation at multiple small treatment sites, which is a key aspect of the procedure. As the tissue undergoes healing, the treated areas develop increased resistance to intra-abdominal pressure. This physiological change is significant as it contributes to the reduction or complete elimination of involuntary urine leakage, thereby addressing the symptoms associated with stress urinary incontinence effectively.