CPT 0655T: Transperineal Laser Ablation of Malignant Prostate Tissue
CPT code 0655T denotes a transperineal, image-guided laser ablation procedure for malignant prostate tissue that incorporates enhanced imaging such as MR–fused ultrasound. This emerging, incision-sparing intervention matters nationally as it reflects growing use of targeted, image-guided focal therapies in prostate cancer management and potential impacts on surgical volume, imaging utilization, and ambulatory procedure adoption. Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find a concise overview of what CPT code 0655T covers, the clinical context of transperineal laser ablation with MR–fused imaging, and typical sites where the procedure is performed. The publication summarizes expected billing considerations and common modifiers (listed separately), outlines payer coverage presence, and highlights benchmarks and policy topics relevant to adoption and reimbursement. The content is intended to help stakeholders understand the code’s scope, clinical role in prostate cancer care, and where to look for payer guidance and utilization trends. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 0655T describes a minimally invasive ablative procedure in which the provider uses a laser to destroy malignant prostate tissue via a transperineal approach with transrectal imaging guidance. The service includes the use of enhanced ultrasound imaging, such as MR–fused images that combine a magnetic resonance image of the prostate with real-time ultrasound to guide ablation.
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Service type: Image-guided transperineal prostate laser ablation with MR–fused ultrasound guidance
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Typical site of service: Ambulatory surgical center or hospital outpatient setting