Prior Auth Required

55875 - application, with or without cystoscopy

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceapplication, with or without cystoscopy
Procedure / Service Description

Transperineal placement of needles or catheters into prostate for interstitial radioelement - 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 Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for 55920 subsequent interstitial radioelement application

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.