Prior Auth Required

55899 - Unlisted procedure, male genital system

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceUnlisted procedure, male genital system
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 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 55920 Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for 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.