Prior Auth Required

55874 - injection(s), including image guidance, when performed

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceinjection(s), including image guidance, when performed
Procedure / Service Description

Transperineal placement of biodegradable material, peri-prostatic, single or multiple - 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 Transperineal placement of needles or catheters into prostate for interstitial radioelement 55875 application, with or without cystoscopy

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.