AMA Clinical Examples in Radiology - 2025 Issue 4 (Fall)
MRI-Monitored Transurethral Thermal Ultrasound Prostate Ablation
Fall 2025 pages 1-6 CLINICAL EXAMPLE 1 MRI-Monitored Transurethral Thermal Ultrasound Prostate Ablation CLINICAL INDICATION A 72-year-old male presents with biopsy-proven prostate carcinoma. PROCEDURE Magnetic resonance imaging (MRI)–monitored transurethral ultrasound ablation (TULSA) of prostate tissue Anesthesia administered: General endotracheal anesthesia with paralysis was provided by the anesthesiologist, which is reported separately. Contrast administered: 20 mL gadoterate meglumine gadolinium TECHNIQUE Informed consent was obtained, and a standard time-out was performed before starting the procedure. Preprocedural medications were administered. After the patient was brought to the scanner, general endotracheal anesthesia was induced, and the patient was positioned on the MRI scanner...
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Article Overview
This premium article explains a prostate ablation procedure performed with MRI monitoring and discusses the associated reporting considerations for radiology and urology professionals. It covers the procedure context, CPT coding for the service and related device placement, linked ICD-10-CM diagnosis coding, and references to related imaging and quality-measure topics relevant to 2025 coding guidance.
Why This Topic Matters
Accurate reporting for this MRI-monitored prostate ablation service depends on understanding how the procedure, device placement, and related imaging components are represented in current coding guidance. The article helps coders and clinicians determine whether the case fits the discussed CPT and diagnosis coding framework and how it relates to 2025 measure considerations.
Article Sections
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Clinical Example 1
A representative prostate ablation case is presented, including the clinical context, procedural workflow, imaging support, and outcome summary.
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How to Code
The article identifies the main coding assignments associated with the case and introduces the related diagnosis code.
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Discussion
This section provides broader coding context for the procedure, including how the CPT 2025 additions relate to reporting, device placement, imaging, and quality-measure topics.
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Sources
Source references for the coding guidance are listed.
What You Will Learn
- How MRI-monitored transurethral prostate ablation is described in a coding case study
- Which coding sets are discussed for the procedure and diagnosis
- How the article frames related imaging, device placement, and quality-measure context
- Which 2025 CPT update context is associated with the procedure
- How the case is situated for radiology and urology workflow considerations
Who Should Read This
- Radiology coders
- Urology coders
- Physician coders
- Coding auditors
- Clinical documentation specialists
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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