Prior Auth Required

53865 - (E/I) Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service(E/I) Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie
Procedure / Service Description

vapor thermotherapy - vapor thermotherapy (e.g., Rezum) 53865 (E/I) Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate (effective 01/01/2025) (e.g., iTIND)

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.