Prior Auth Required

55874 - Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceTransperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 55873 Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Code NAME/DESCRIPTION COMMENTS 55874 Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed 55875 Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or

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  • Submit clinical notes if requested by the plan
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