A transrectal ultrasound (TRUS) may also be called prostate sonogram or endorectal ultrasound. It is used to look at the prostate and tissues around it. An ultrasound transducer (also called a probe) sends sound waves through the wall of the rectum and into the prostate and surrounding tissue.
Prostate ultrasound and biopsy both evaluate the abnormal results of a digital rectal exam or an elevated prostate-specific antigen (PSA) blood test. Prostate ultrasound involves a probe about the size of a finger that is inserted a short distance into the rectum.
A suspicious area to biopsy or may take samples from several places in prostate. Generally, 10 to 12 tissue samples are taken. The entire procedure usually takes about 10 minutes.
Transrectal ultrasonography (TRUS) is a way of creating an image of the prostate gland using sound waves. In conventional ultrasound procedures, a probe placed against the skin sends painless, ultra-high-frequency sound waves into the body.
One of the more useful applications of MRI is in locating cancer that has not shown up on a biopsy. This can be very helpful to a man who has not yet been diagnosed with prostate cancer despite having an elevated PSA and continued biopsies that come back as being “negative,” meaning there is no evidence of cancer.
55700 – Biopsy, prostate; needle or punch, single or multiple, any approach
76872 – Transrectal ultrasound; this is a diagnostic test for evaluation of the prostate and surrounding structures, looking for abnormalities or suspicious areas worrisome for cancer
76942 – Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation.
72195-72197: Magnetic resonance (eg, proton) imaging, pelvis (without, with, or without and with contrast)
76376: 3D rendering with interpretation and reporting of computed tomography (CT), MRI, ultrasound, or other tomographic modality with image post-processing under concurrent supervision; not requiring image post-processing on an independent workstation
76377: 3D rendering with interpretation and reporting of CT, MRI, ultrasound, or other tomographic modality with image post-processing under concurrent supervision; requiring image post-processing on an independent workstation
76498: Unlisted magnetic resonance procedure, (eg, diagnostic, interventional)
- Prostate Volume Study and Brachytherapy; coding guideline
- Magnetic resonance imaging (MRI)-guided prostate biopsy; coding guideline
- Rezum Procedure: coding guideline