CPT Knowledgebase - Aug 27, 2019

patient presents with recurrent prostate cancer. Cryoablation therapy is planned. Initially, ultrasound (US) was used to assess the prostate cancer recurrence and needle path course. A transperineal grid was placed against the perineum, and magnetic resonance imaging (MRI) was used to image and guide needles through the grid into the prostate for ablation. CPT code 55873 describes ablation including US guidance. Code 77022 (MRI imaging guidance for parenchymal tissue ablation) describes MRI imaging guidance for parenchymal tissue ablation. CCI edits disallow reporting of these two codes together at the same encounter. If the needles/catheters are not inserted using real-time US guidance (but through the grid placed by US imaging), is it appropriate to report code 55873?

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