How To Use CPT Code 0582T

CPT 0582T describes a specific procedure known as transurethral ablation of malignant prostate tissue using high-energy water vapor thermotherapy. This article will provide an overview of the code, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0582T?

CPT 0582T is a code that represents the transurethral ablation of malignant prostate tissue using high-energy water vapor thermotherapy. This procedure involves the use of a radiofrequency-generated water vapor thermal device inserted through the urethra to destroy cancerous prostate tissue. The provider performs this procedure under intraoperative imaging and needle guidance.

2. Official Description

The official description of CPT code 0582T is: ‘Transurethral ablation of malignant prostate tissue by high-energy water vapor thermotherapy, including intraoperative imaging and needle guidance.’

3. Procedure

1. The patient is appropriately prepped and anesthetized or sedated and placed in the lithotomy position.
2. The provider inserts a high-energy water vapor thermotherapy delivery device into the urethra under direct cystoscopic visualization.
3. Using intraoperative imaging and needle guidance, the provider positions the needle tip of the device directly at the malignant prostate tissue.
4. The provider injects heated water vapor into the malignant tissue in bursts, creating contiguous and overlapping zones.
5. After each injection, the provider retracts the needle and repositions it to ensure complete destruction of the malignant tissue.
6. The total number of treatments may vary depending on the size and shape of the prostate.
7. Once enough of the prostatic tissue has been destroyed, the provider withdraws the instrument.

4. Qualifying circumstances

CPT 0582T is used for the ablation of malignant prostate tissue. It should not be reported in conjunction with codes 52000, 72195, 72196, 72197, 76376, 76377, 76872, 76940, 76942, 77021, or 77022. For the treatment of benign prostatic hypertrophy (BPH) using radiofrequency-generated water vapor thermotherapy, use code 53854 instead.

5. When to use CPT code 0582T

CPT code 0582T should be used when performing transurethral ablation of malignant prostate tissue using high-energy water vapor thermotherapy. It is important to review the parenthetical notes following the descriptor to avoid reporting codes that should not be reported with this procedure.

6. Documentation requirements

To support a claim for CPT 0582T, the provider must document the following:

• Patient’s diagnosis of malignant prostate tissue
• Use of a radiofrequency-generated water vapor thermal device
• Date of the procedure
• Start and end time of the procedure
• Details of the intraoperative imaging and needle guidance used
• Progress made during the procedure, including the destruction of malignant tissue
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 0582T, ensure that the procedure is performed by a qualified provider and includes intraoperative imaging and needle guidance. It should not be reported with certain other codes listed in the parenthetical notes. It is important to consult with the payer regarding coverage and reimbursement for this procedure.

8. Historical information

CPT code 0582T was added to the Current Procedural Terminology system on January 1, 2020. There have been no updates to the code since its addition.

9. Examples

1. A urologist performing transurethral ablation of malignant prostate tissue using high-energy water vapor thermotherapy under intraoperative imaging and needle guidance.
2. A radiation oncologist using a radiofrequency-generated water vapor thermal device to destroy cancerous prostate tissue in a patient.
3. A urologic surgeon performing the procedure on a patient with localized prostate cancer.
4. An interventional radiologist using high-energy water vapor thermotherapy to ablate malignant prostate tissue in a patient with advanced prostate cancer.
5. A urology specialist performing the procedure as part of a comprehensive treatment plan for a patient with recurrent prostate cancer.
6. A multidisciplinary team of healthcare professionals collaborating to perform transurethral ablation of malignant prostate tissue using high-energy water vapor thermotherapy.
7. A urologic oncologist using intraoperative imaging and needle guidance to precisely target and destroy cancerous prostate tissue.
8. A patient with localized prostate cancer undergoing the procedure as an alternative to surgery or radiation therapy.
9. A provider performing the procedure on a patient with metastatic prostate cancer to alleviate symptoms and improve quality of life.
10. A urologic surgeon using high-energy water vapor thermotherapy to treat a patient with aggressive prostate cancer.