Ultrasound-Guided Pancreatic Mass Histotripsy

Summer 2026 pages 1-4 CLINICAL EXAMPLE 1 Ultrasound-Guided Pancreatic Mass Histotripsy CLINICAL INDICATION A 67-year-old female was referred for pancreatic histotripsy for treatment of a malignant pancreatic mass. The procedure was performed with palliative and local disease control–intent in the setting of limited surgical options and multidisciplinary consensus. PROCEDURE Ultrasound-guided pancreatic mass histotripsy TECHNIQUE Informed consent was obtained. Immediately before the procedure, a standardized timeout was performed. The patient was positioned supine on the procedure table and received general anesthesia administered by the anesthesia service. Preprocedural ultrasound imaging was reviewed to confirm mass location, size, morphology, and proximity to...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

The article describes an ultrasound-guided histotripsy procedure for a malignant pancreatic mass, including the clinical context, procedural technique, and post-treatment imaging. It also discusses coding and general reporting considerations involving CPT and ICD-10-CM, including the stated effective date of a new Category III code. The material is relevant to professionals reviewing documentation and reporting for this type of image-guided therapeutic procedure.

Why This Topic Matters

The article brings together a procedural case and a coding discussion for pancreatic histotripsy, helping readers identify the clinical documentation and reporting topics addressed.

Article Sections

  1. CLINICAL EXAMPLE 1

    Introduces a clinical case involving pancreatic histotripsy and provides the context for the procedure.

  2. CLINICAL INDICATION

    Summarizes the patient's clinical context and the rationale for referral.

  3. PROCEDURE

    Identifies the therapeutic procedure performed in the case.

  4. TECHNIQUE

    Describes the preparation, ultrasound-guided treatment process, and immediate post-treatment assessment.

  5. IMPRESSION

    Presents the procedural impression following treatment.

  6. HOW TO CODE

    Lists the CPT and ICD-10-CM identifiers associated with the case.

  7. DISCUSSION

    Discusses the procedure's general context and reporting considerations, including imaging and the effective date of a new CPT Category III code.

What You Will Learn

  • The clinical context and procedural elements described in a pancreatic histotripsy case.
  • Which code sets are discussed in relation to the procedure and diagnosis.
  • The article's general discussion of imaging and reporting considerations.
  • The effective date identified for the new CPT Category III code.

Who Should Read This

  • Medical coders and coding auditors
  • Radiology and interventional imaging professionals
  • Oncology care teams
  • Healthcare professionals involved in documentation and reporting for image-guided procedures

Codes Discussed


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