How To Use CPT Code 55706

CPT 55706 describes the procedure for prostate biopsies using a transperineal, stereotactic template guided saturation sampling technique. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 55706?

CPT 55706 can be used to describe the procedure for prostate biopsies using a transperineal, stereotactic template guided saturation sampling technique. This code is used when a physician performs a biopsy of the prostate through the perineum under ultrasonic imaging guidance to obtain tissue samples for further examination.

2. Official Description

The official description of CPT code 55706 is: ‘Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance.’

3. Procedure

1. The physician cleans the skin over the surgical site with an antiseptic liquid.
2. Under anesthesia, the physician inserts a gloved and lubricated finger into the rectum to locate and stabilize the prostate.
3. The physician then inserts a biopsy needle into the prostate through the perineum under ultrasonic imaging guidance.
4. Tissue samples are obtained using the biopsy needle.
5. The tissue samples are sent to the laboratory for further examination.

4. Qualifying circumstances

CPT 55706 is performed when a physician performs a prostate biopsy using the transperineal method. This method involves inserting a biopsy needle into the prostate through the perineum under ultrasonic imaging guidance. The procedure is typically performed to test for the presence of cancer or other abnormal cells in the prostate gland.

5. When to use CPT code 55706

CPT code 55706 should be used when a physician performs a prostate biopsy using the transperineal, stereotactic template guided saturation sampling technique. This code should not be reported in conjunction with CPT code 55700.

6. Documentation requirements

To support a claim for CPT code 55706, the physician must document the following information:

• Details of the transperineal, stereotactic template guided saturation sampling technique used
• Date of the procedure
• Start and end time of the procedure
• Any complications or additional procedures performed
• Signature of the performing physician

7. Billing guidelines

When billing for CPT code 55706, ensure that the procedure is performed using the transperineal, stereotactic template guided saturation sampling technique. Do not report CPT code 55706 in conjunction with CPT code 55700. Modifier TC should be used when reporting the technical component of the procedure, and modifier 26 should be used when reporting the professional component.

8. Historical information

CPT code 55706 was added to the Current Procedural Terminology system on January 1, 2009. There have been no updates to the code since its addition.

9. Examples

1. A physician performing a transperineal, stereotactic template guided saturation sampling prostate biopsy on a patient.
2. A urologist using ultrasonic imaging guidance to perform a transperineal prostate biopsy on a patient.
3. A radiologist assisting a physician in performing a transperineal, stereotactic template guided saturation sampling prostate biopsy.
4. A surgeon obtaining tissue samples from the prostate using a transperineal, stereotactic template guided saturation sampling technique.
5. A physician performing a prostate biopsy on a patient using the transperineal method under ultrasonic imaging guidance.
6. A urologist using a stereotactic template to guide the biopsy needle during a transperineal prostate biopsy.
7. A radiologist providing imaging guidance during a transperineal, stereotactic template guided saturation sampling prostate biopsy.
8. A surgeon obtaining multiple tissue samples from the prostate using a transperineal, stereotactic template guided saturation sampling technique.
9. A physician performing a prostate biopsy on a patient using the transperineal method and ultrasonic imaging guidance.
10. A urologist using a template to guide the biopsy needle during a transperineal, stereotactic template guided saturation sampling prostate biopsy.