CPT® Code 0404T

Deleted

1. Indications

The procedure is indicated for the treatment of uterine fibroid(s) that may be causing significant symptoms or complications. The following conditions are explicitly recognized as indications for this procedure:

• Abnormal Uterine Bleeding - Patients experiencing heavy or irregular menstrual bleeding due to the presence of fibroids.
• Pelvic Pressure - Individuals who report a sensation of fullness or pressure in the pelvic region attributed to fibroid growth.
• Pain - Patients suffering from pelvic pain that may be linked to uterine fibroids.
• Suboptimal Fertility Conditions - Women facing challenges with fertility that may be exacerbated by the presence of fibroids.

2. Procedure

The procedure for transcervical uterine fibroid ablation with ultrasound guidance and radiofrequency involves several critical steps, each designed to ensure effective treatment of the fibroids:

• Cervical Dilation - The first step involves the dilation of the cervix to facilitate the insertion of the treatment probe. This is essential for accessing the uterine cavity safely.
• Probe Insertion - A specialized probe, which contains both an ultrasound transducer and a radiofrequency electrode, is carefully inserted into the uterus through the dilated cervix. This allows for real-time imaging and treatment.
• Ultrasound Guidance - Ultrasound is utilized to confirm the precise location and size of the fibroid(s). This imaging is crucial for creating a graphic map of the treatment area, ensuring accurate targeting during the procedure.
• Parameter Calculation - Based on the size and location of the fibroid(s), the appropriate radiofrequency settings and safety parameters are calculated. This step is vital for ensuring the effectiveness and safety of the ablation.
• Radiofrequency Electrode Deployment - The radiofrequency electrode is introduced into the fibroid, and thermal energy is deployed under continuous ultrasound visualization. This process continues until the fibroid is reduced in size, effectively destroying the fibroid tissue.
• Repetition for Multiple Fibroids - If multiple fibroids are present, the procedure may be repeated as necessary to ensure comprehensive treatment of all affected areas.
• Probe Removal - Once the treatment is complete, the transducer is carefully removed from the uterus, concluding the procedure.

3. Post-Procedure

Post-procedure care following transcervical uterine fibroid ablation typically involves monitoring for any immediate complications and providing instructions for recovery. Patients may experience some discomfort or cramping, which can be managed with over-the-counter pain relief as advised by their healthcare provider. It is important for patients to follow up with their physician to assess the effectiveness of the procedure and to monitor for any potential complications. Additionally, patients should be informed about signs of infection or excessive bleeding that would require immediate medical attention. Recovery time may vary, but many patients can resume normal activities within a few days, depending on their individual circumstances and the extent of the procedure performed.