CPT® Code 55860

The procedure described by CPT® Code 55860 involves the surgical exposure of the prostate gland through various approaches, specifically for the purpose of inserting a radioactive substance as part of brachytherapy treatment. Brachytherapy is a form of radiation therapy where radioactive seeds are implanted directly into or near a tumor, allowing for targeted treatment while minimizing exposure to surrounding healthy tissues. The surgical approach can be either retropubic, which involves an incision in the lower abdomen, or perineal, which involves an incision made in the perineal area. In the retropubic approach, the bladder is carefully displaced to access the area behind the pubic bone, allowing the surgeon to reach the prostate. During the procedure, the physician may utilize a finger guide placed in the rectum to accurately position a hollow applicator needle into the prostate tissue. Once the needle is correctly positioned, radioactive seeds are introduced through the needle and implanted into the prostate. The needle is then withdrawn and repositioned in small increments to place additional seeds, repeating this process multiple times to ensure adequate coverage of the target area. This procedure is critical in the management of prostate cancer, providing a localized treatment option that can lead to effective tumor control.