CPT® Code 58580

The CPT® Code 58580 refers to the procedure known as transcervical ablation of uterine fibroid(s), which is performed using a transcervical approach with the assistance of intraoperative ultrasound guidance and monitoring, specifically utilizing radiofrequency technology. Uterine fibroids, also known as leiomyomas, are non-cancerous tumors that develop within the smooth muscle tissue of the uterus, referred to as the myometrium. These fibroids can lead to various symptoms, including abnormal uterine bleeding, pelvic pressure, and pain, which may significantly impact a patient's quality of life. Additionally, the presence of fibroids can create challenges for women seeking to conceive, potentially leading to suboptimal fertility conditions. The procedure itself is minimally invasive, designed to effectively destroy the fibroid(s) through a process known as thermal fixation and coagulation necrosis, all while preserving the overall architecture of the uterus. During the procedure, the cervix is dilated to allow for the insertion of a specialized probe that contains both an ultrasound transducer and a radiofrequency electrode. The ultrasound guidance is critical, as it helps confirm the precise location and size of the fibroid(s), enabling the creation of a detailed graphic map of the treatment area. Once the fibroid(s) have been accurately located, the necessary radiofrequency settings and safety parameters are calculated based on the specific characteristics of the fibroid(s). Following this, the radiofrequency electrode is carefully introduced into the fibroid, and thermal energy is applied under continuous ultrasound visualization. This process continues until the fibroid is effectively reduced in size. If multiple fibroids are present, the procedure may be repeated as necessary, after which the transducer is removed, concluding the treatment.