AMA CPT® Assistant - 2025 Issue 4 (April)
Reporting MRI-Guided and Monitored Transurethral Ultrasound Ablation of the Prostate
April 2025 pages 1-11 Reporting MRI-Guided and Monitored Transurethral Ultrasound Ablation of the Prostate For the Current Procedural Terminology (CPT®) 2025 code set, three new codes (51721, 55881, 55882) were established to report procedures involving magnetic resonance imaging (MRI)-monitored transurethral thermal ultrasound ablation (TULSA) of prostate tissue. These services require two separate components: the insertion and/or placement of the transurethral ablation catheter through which the ablation will be performed (51721) and the performance and monitoring of transurethral ultrasound prostate tissue ablation using MRI guidance (55881). Code 55882 includes both components. This article provides an overview of the intent...
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Article Overview
This article covers CPT 2025 coding for MRI-monitored transurethral thermal ultrasound ablation of prostate tissue, focusing on the three new procedure codes, their scope, and the parenthetical notes tied to reporting relationships and exclusions. It is intended for coders and billing professionals working with urology, radiology, and interventional prostate procedures. The discussion also includes a coding tip and procedural examples that illustrate the overall workflow of these services without replacing the need to review the full article.
Why This Topic Matters
These services involve multiple procedure components and code relationships that can affect how MRI-guided prostate ablation is reported. The article helps readers understand the structure of the new CPT options and the associated cross-references and exclusions.
Article Sections
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April 2025 pages 1-11
Publication timing and article pagination.
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Reporting MRI-Guided and Monitored Transurethral Ultrasound Ablation of the Prostate
Overview of the topic, including the new CPT 2025 reporting framework for MRI-monitored transurethral ultrasound ablation of prostate tissue.
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Urinary System
Coding discussion organized under the urinary system category, with emphasis on the relevant anatomic area and associated procedure reporting.
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Male Genital System
Coding discussion organized under the male genital system category, including the prostate-focused procedure reporting.
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Coding Tip
A brief note highlighting related reporting considerations for the described procedure family.
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Clinical Example (51721)
An example scenario and procedure narrative associated with the first code in the article.
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Clinical Example (55881)
An example scenario and procedure narrative associated with the second code in the article.
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Clinical Example (55882)
An example scenario and procedure narrative associated with the bundled code in the article.
What You Will Learn
- How the article frames CPT 2025 reporting for MRI-monitored transurethral ultrasound ablation of the prostate
- How the new code family is organized at a high level
- What kinds of parenthetical guidance accompany the codes
- What the article’s clinical examples are intended to illustrate
- What general coding considerations are highlighted for this prostate ablation workflow
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Urology practice administrators
- Radiology coding professionals
- Revenue cycle professionals
Codes Discussed
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