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
- 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.