Prior Auth Required

55876 - Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate

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Procedure / ServicePlacement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 55875 Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy 55876 Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple 55899 Unlisted procedure, male genital system

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
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  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.