Prostate Volume Study & Brachytherapy: CPT Codes and Guideline

Prostate Volume Study

A volume study is an ultrasound study of the prostate designed to help determine whether seed implantation is technically appropriate and is also used to plan the implant. It is a simple procedure which requires placing the ultrasound probe into the rectum and taking a series of pictures.

prostateThe normal prostate size for an adult male is 15cc to 30cc (one half ounce to one ounce). Men whose prostate gland is larger than 30 cc are more likely to be diagnosed with either benign hyperplasia (enlargement) or prostate cancer than those whose prostate is in the normal range.

Prostate cancer is the model cancer for brachytherapy. Permanent seed implants involve injecting approximately 100 radioactive seeds into the prostate gland. They give off their radiation at a low dose rate over several weeks or months, and then the seeds remain in the prostate gland permanently.


Image result for Prostate Volume Study and BrachytherapyBrachytherapy involves placing a radioactive material directly inside or next to the tumor. Brachytherapy, also called internal radiation therapy, allows a physician to use a higher total dose of radiation to treat a smaller area and in a shorter time than is possible with external beam radiation treatment.

High-dose rate brachytherapy lasts about 30 minutes. Your doctor inserts the radioactive material into the prostate. The doctor may use a computerized robot to do this. The radioactive material is removed right away after treatment.

Brachytherapy seedsThere are two types of brachytherapy – high dose-rate (HDR) and low dose-rate (LDR). LDR brachytherapy is the type that is most commonly used to treat prostate cancer; it may sometimes be referred to as ‘seed implantation’ or it may also be called ‘pinhole surgery’.

  • The radioactivity of the seeds decays very quickly with time. The radiation used for the treatment of prostate cancer is delivered during the first half-life of the isotope, which is 60 days for Iodine-125.

CPT Codes for Prostate Volume Study & Brachytherapy and guideline

hhh A volume study is an ultrasound study of  prostate. We use these ultrasound pictures to determine the exact size and shape of prostate gland and to create a 3-D image of the prostate. The 3-D image is used to develop individualized treatment plan.

76873 – (echography, transrectal; prostate volume study for brachytherapy treatment planning [separate procedure]).

76965 – (ultrasonic guidance for interstitial radioelement application)

hhh For brachytherapy, the scan is used to determine the size of the gland and customize a seed-implant treatment. Each generated image is used to calculate the prostate volume, the number of radiation seeds and the exact placement of each seed. Use CPT code 76873.

hhh CPT Code 76965 is reported at the time of the seed implantation by the urologist or the brachytherapist, depending on who performs the procedure.

hhh When the urologist performs an ultrasound for prostate volume study (to determine prostate size and plan for needle placement of seeds) before the surgery, code this service with CPT code 76873, Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure).


hhh Brachytherapy is an advanced cancer treatment. Radioactive seeds or sources are placed in or near the tumor itself, giving a high radiation dose to the tumor while reducing the radiation exposure in the surrounding healthy tissues. The term “brachy” is Greek for short distance.

hhh Following CPT codes are used for brachytherapy treatment of prostate:-


Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy


Ultrasonic guidance for interstitial radioelement application

Remembering Point

Light BulbThe performance of a transrectal ultrasound prior to a 53852 Transurethral needle ablation (TUNA) is not considered a “prostate volume study.” A true prostate volume study includes 5 mm cuts and views. To code for a TRUS prior to TUNA, use CPT code 76872 Ultrasound, transrectal.

Light BulbWhen the urologist performs an ultrasound for prostate volume study before the surgery, code this service with CPT code 76873, Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure).

Light BulbFor Gold seed markers bill both CPT 55876 Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter) prostate (via needle, any approach) single or multiple, and HCPCS code A4648 Tissue marker, implantable, any type, each.

Light BulbPayment for Implantable Tissue Markers (HCPCS Code A4648)

17 responses to “Prostate Volume Study & Brachytherapy: CPT Codes and Guideline”

  1. […] Prostate Volume Study and Brachytherapy; coding guideline […]

  2. Join our mailing list to learn the latest freelance job opportunities.

  3. Perhaps you should also a put a forum site on your blog to increase reader interaction.*::-`

  4. This is such a great website. please check out our website at thank you and have a great day.

  5. I totally agree with you about this matter. Nice post. Already bookmarked for future reference.

  6. I want to start a blog on myyearbook but i cant find the box on my profile.. I have made sure i have checked the box to show my latest blog in the manage profile boxes section.. But it still wont show up.. Please help.. Is there any other way to start the blog?.

  7. What is the best absolutely free blog/web or search engine directory on the web?

  8. Thanks for any other fantastic post. Where else may just anybody get that type of info in such an ideal way of writing? I’ve a presentation next week, and I’m on the search for such info.

  9. Good day! Would you mind if I share your blog with my facebook group? There’s a lot of folks that I think would really appreciate your content. Please let me know. Many thanks

  10. You’ve gotten terrific information here.|

  11. You really make it seem so easy with your presentation but I find this matter to be actually something which I think I would never understand. It seems too complex and very broad for me. I’m looking forward for your next post, I will try to get the hang of it!

  12. Highly recommended, great reviews, and a great company

  13. […] Prostate Volume Study & Brachytherapy: CPT Codes and. – The normal prostate size. Men whose prostate gland is larger than 30 cc are more likely to be diagnosed with either benign hyperplasia (enlargement). […]

  14. Appreciating the commitment you put into your blog and detailed information you present. It’s great to come across a blog every once in a while that isn’t the same old rehashed material. Wonderful read! I’ve saved your site and I’m adding your RSS feeds to my Google account.

  15. hello!,I love your writing so much! percentage we keep in touch extra approximately your post on AOL? I need a specialist on this house to solve my problem. May be that’s you! Taking a look ahead to see you. |

  16. This design is steller! You obviously know how to keep a reader amused. Between your wit and your videos, I was almost moved to start my own blog (well, almost…HaHa!) Great job. I really enjoyed what you had to say, and more than that, how you presented it. Too cool!

  17. It is truly a great and helpful piece of information. I抦 glad that you simply shared this useful info with us. Please keep us informed like this. Thanks for sharing.

Leave a Reply to John HeneryCancel reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.

%d bloggers like this: