2025 CPT code 58346
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Corpus Uteri Surgery Feed
Insertion of Heyman capsules for clinical brachytherapy.
Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (22), reduced services (52), or multiple procedures (51).
Brachytherapy with Heyman capsules is medically necessary for treating certain gynecological cancers, particularly endometrial cancer, to deliver targeted radiation therapy to the affected area.It can be used as a primary treatment or in conjunction with other therapies.
The physician performs the insertion of Heyman capsules.This includes patient positioning, anesthesia administration, cervical dilation, uterine measurement, and capsule insertion.A radiation oncologist typically manages the introduction and removal of the radioactive element.
In simple words: The doctor inserts small capsules into the uterus to hold radioactive material for cancer treatment. This is a type of internal radiation therapy. The cervix is gently widened, and the doctor measures the uterus before placing the capsules.Another doctor then puts the radioactive material into the capsules through small tubes, which are removed after the treatment is finished.
This procedure involves the insertion of Heyman capsules into the uterus to hold radioactive material for brachytherapy treatments, typically for endometrial cancer. The provider dilates the cervix, determines uterine depth, and inserts 5-10 capsules. A radiation oncologist then connects tubes to the capsules to introduce the radioactive element. The tubes and capsules are removed after the treatment.
Example 1: A patient with endometrial cancer undergoes brachytherapy with the insertion of Heyman capsules containing radioactive material into the uterus., A 60-year-old female diagnosed with stage I endometrial cancer is scheduled for brachytherapy. The physician inserts Heyman capsules into her uterus to deliver localized radiation., Following surgical removal of a uterine tumor, the patient receives brachytherapy via the insertion of Heyman capsules to target any remaining cancerous cells.
Documentation should include type and stage of cancer, medical necessity for brachytherapy, number of capsules inserted, type of radioactive material used, dosage, time of application, and any complications encountered.
- Revenue Code: P7A
- Specialties:Gynecologic Oncology, Radiation Oncology
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Physician's Office