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CPT 55706: Template-Guided Transperineal Prostate Saturation Biopsy
CPT code 55706 captures a template-guided transperineal saturation biopsy of the prostate, a procedure that uses a stereotactic template and imaging guidance to obtain multiple grid-pattern tissue samples. This technique is important nationally as an option for systematic prostate sampling when transrectal approaches are inadequate or when extensive sampling is clinically indicated. It has implications for diagnostic accuracy, care pathways for suspected prostate cancer, and procedural resource use.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context and service settings, payer coverage considerations, and benchmarking where available. The publication highlights coding details for proper claim submission and billing workflows, outlines typical sites of service and service type, and summarizes common modifiers associated with the procedure. Where input data is incomplete, the text notes that specific fields are not available.
This executive summary supports clinicians, practice managers, and billing professionals seeking a national-level understanding of how CPT code 55706 fits into prostate diagnostic pathways, payer interactions, and administrative workflows.
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Billing Code Overview
CPT code 55706 describes a template-guided saturation biopsy of the prostate, in which the provider performs multiple needle biopsies of the prostate gland through the perineum using a stereotactic template system. Imaging guidance is included as part of the procedure. This technique enables taking numerous tissue samples in a grid-like pattern to evaluate for prostate cancer or other prostate abnormalities.
Service type: Template-guided transperineal prostate biopsy (saturation biopsy)
Typical site of service: Ambulatory surgical center or hospital outpatient department, with the procedure performed in a sterile procedure room or operating suite under appropriate anesthesia.