© Copyright 2026 American Medical Association. All rights reserved.
Ultrasonic guidance for interstitial radioelement application, as described by CPT® Code 76965, refers to the use of ultrasound technology to assist in the precise placement of radioactive seeds or pellets during brachytherapy procedures. Brachytherapy is a form of internal radiation therapy where radioactive material is placed directly inside or near a tumor. The ultrasound technique is non-invasive and involves the use of a transducer probe that is placed against the skin. This probe emits high-frequency sound waves that penetrate the body and create a gray scale image of the internal structures. The images produced are crucial for accurately identifying the location of the treatment area, which may include various anatomical sites such as the eye, breast, prostate gland, soft tissues of the head and neck, genitourinary tract, and respiratory tract. To facilitate the imaging process, ultrasonic conduction gel is applied to the skin, enhancing the transmission of sound waves. The transducer probe is then moved over the targeted area, generating real-time images that help healthcare professionals to precisely landmark the site for the implantation of the radioactive seeds or pellets, ensuring effective treatment delivery while minimizing damage to surrounding healthy tissues.
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