Prior Auth Required

53453 - Periurethral transperineal adjustable balloon continence device; removal, each balloon

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePeriurethral transperineal adjustable balloon continence device; removal, each balloon
Procedure / Service Description

Insertion, Inflatable Urethra/Bladder Neck Sphincter, W/Placement Pump &/Or Reservoir & - Periurethral transperineal adjustable balloon continence device; unilateral insertion, including 53452 cystourethroscopy and imaging guidance 53453 Periurethral transperineal adjustable balloon continence device; removal, each balloon Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of 53454 balloon(s) fluid volume

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.