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Low-intensity extracorporeal shock wave therapy (Li-ESWT) of the corpus cavernosum is a noninvasive therapeutic approach designed to address erectile dysfunction (ED). This treatment modality is particularly beneficial for patients who have experienced ED following prostate cancer interventions, such as radical prostatectomy or radiation therapy. Erectile dysfunction can arise from various underlying causes, with vascular issues being the most prevalent, often linked to insufficient blood flow to the penis. Other contributing factors may include nerve signal deficiencies, psychological conditions such as anxiety, excessive norepinephrine levels, or hormonal imbalances. After prostate cancer treatments, patients frequently suffer from vascular damage and cavernosal nerve injury, which can exacerbate ED. Li-ESWT works by promoting angiogenesis, which is the formation of new blood vessels, thereby enhancing blood flow to the penis. Additionally, it aids in nerve regeneration within the corpus cavernosum. The procedure utilizes an extracorporeal device that emits a series of focused linear shockwaves, delivering pulsed acoustic energy in the ultrasonic range, specifically at an intensity of 0.09 mJ/mm², and can penetrate up to 70mm. During the treatment, the patient is positioned supine, allowing the shockwaves to effectively target both corpus cavernosum structures. The procedure does not require anesthesia, and each session typically lasts around 20 minutes. Patients may undergo multiple sessions over several weeks to achieve optimal results.
© Copyright 2025 Coding Ahead. All rights reserved.
The indications for low-intensity extracorporeal shock wave therapy (Li-ESWT) of the corpus cavernosum primarily include the following conditions:
The procedure for low-intensity extracorporeal shock wave therapy (Li-ESWT) involves several key steps that ensure effective treatment of erectile dysfunction:
After the completion of low-intensity extracorporeal shock wave therapy (Li-ESWT), patients can typically resume normal activities immediately, as the procedure is noninvasive and does not require anesthesia. There are generally no significant recovery times associated with the treatment. However, patients may be advised to monitor their response to the therapy and report any unusual symptoms or discomfort to their healthcare provider. Follow-up appointments may be scheduled to assess the effectiveness of the treatment and determine if additional sessions are necessary for optimal results.
| Short Descr | LOW NTSTY ESWT CORPUS CVRNSM | Medium Descr | LOW INTENSITY ESWT CORPUS CAVERNOSUM LOW ENERGY | Long Descr | Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy | Status Code | Carriers Price the Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later without MPFS nonfacility PE RVUs; payment based on OPPS relative payment weight. | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
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| 2024-01-01 | Added | Code Added. |
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