CPT® Code 0336T

Deleted

Laparoscopy, surgical, ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency

Laparoscopy, surgical, ablation of uterine fibroid(s) is a minimally invasive procedure aimed at treating benign tumors known as uterine fibroids, which develop from the muscle tissue of the uterus (myometrium). These fibroids can vary in location and type: submucous fibroids extend into the uterine cavity, intramural fibroids are embedded within the uterine wall, and subserous fibroids are located on the outer surface of the uterus. The procedure utilizes radiofrequency ablation (RFA) technology, which is effective for fibroids of various sizes and locations. During the procedure, two small incisions are made—one in the infraumbilical region and another in the suprapubic region—to facilitate access to the abdominal cavity. Pneumoperitoneum, or the introduction of gas into the abdominal cavity, is established to create a working space for the surgeon. A diagnostic laparoscopic examination is then performed, which includes the use of laparoscopic ultrasound to accurately identify and assess the fibroids. Following this evaluation, a small incision is made to insert the RFA device, which is guided to the fibroid using laparoscopic visualization and ultrasound. The RFA device employs an electrode array that is deployed into the fibroid, where it generates heat to ablate the tissue. This process is carefully monitored to ensure that the target temperature is achieved and maintained for a specified duration to effectively destroy the fibroid tissue. Once all targeted fibroids have been treated, the RFA device is removed, and the gas is evacuated from the peritoneal cavity before closing the incisions. This procedure offers a less invasive alternative to traditional surgical methods, potentially resulting in quicker recovery times and reduced postoperative complications.