Prior Auth Required

53453 - therapy systems)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicetherapy systems)
Procedure / Service Description

Coverage with Evidence Development - 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.