CPT® Code 58353

Endometrial ablation, specifically thermal endometrial ablation without hysteroscopic guidance, is a medical procedure aimed at treating certain benign conditions of the uterus, particularly menorrhagia, which is excessive menstrual bleeding often resulting from dysfunctional uterine bleeding. This procedure utilizes heat to destroy the endometrial tissue, which is the lining of the uterus. By applying thermal energy, the procedure effectively reduces or eliminates the source of abnormal bleeding. The absence of hysteroscopic guidance indicates that the procedure is performed without the use of a hysteroscope, a thin, lighted tube that allows for direct visualization of the uterine cavity. Instead, the procedure relies on other methods to ensure proper placement and effectiveness. Prior to the ablation, a baseline transvaginal ultrasound is conducted to assess the uterine condition, followed by the insertion of a balloon catheter into the uterine cavity, which is then inflated with heated water to achieve the desired therapeutic effect on the endometrial lining.