Prior Auth Required

53451 - Periurethral transperineal adjustable balloon Experimental, investigational, or

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePeriurethral transperineal adjustable balloon Experimental, investigational, or
Procedure / Service Description

Coverage with Evidence Development - 1370/20.000517 Periurethral transperineal adjustable balloon 53451 Experimental, investigational, or continence device (e.g., ProAct, ACT 53452 unproven therapy systems) 53453

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.