Prior Auth Required

55873 - Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)
Procedure / Service Description

Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, - 55862 Lymphadenect) 55865 Exposure, Prostate, Any Approach, Radiation Insertion; W/Bilat Pelvic Lymphadenectomy 55873 Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Transperineal placement of biodegradable material, peri-prostatic, single or multiple 55874 injection(s), including image guidance, when performed

Likely documents
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  • 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.