CPT® Code 55882

Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound transducer for delivery of thermal ultrasound, including suprapubic tube placement and placement of an endorectal cooling device, when performed

The CPT® Code 55882 refers to a specific medical procedure known as transurethral ultrasound ablation of prostate tissue, which is guided by thermal ultrasound and magnetic resonance imaging (MRI). This advanced technique is primarily utilized for the ablation of malignant prostate tissue, allowing for precise targeting and treatment of cancerous cells within the prostate gland. The procedure is performed with the patient under anesthesia, ensuring comfort and minimizing discomfort during the intervention. The use of MRI guidance is critical, as it provides real-time imaging that enhances the accuracy of the procedure, allowing the physician to visualize the prostate and surrounding structures clearly. During the procedure, a suprapubic catheter is inserted into the anterior pelvis to facilitate drainage and access to the bladder. The patient is then positioned within the MRI scanner, where an endorectal cooling device is placed to protect surrounding tissues from thermal damage during the ablation process. The procedure involves the careful placement of a transurethral ultrasound transducer, which is responsible for delivering the thermal ultrasound energy necessary for tissue ablation. The entire process is meticulously monitored, with multiple imaging techniques employed to ensure that the transducer is correctly positioned and that the ablation is effectively targeting the intended tissue while avoiding critical structures. The physician can adjust the positioning and angulation of the ultrasound applicator as needed, ensuring optimal treatment outcomes. Continuous monitoring through MRI imaging allows for real-time adjustments and confirmation of successful ablation, making this procedure a sophisticated and highly controlled method for treating prostate cancer.