Prior Auth Required

0655T - Transperineal focal laser ablation of prostate (MR-fused) All

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceTransperineal focal laser ablation of prostate (MR-fused) All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Transcatheter tricuspid valve implantation/replacement 0646T All Percutaneous G-tube with magnetic gastropexy 0647T All Transperineal focal laser ablation of prostate (MR-fused) 0655T All Uterine allograft backbench prep/reconstruction 0668T, 0669T, 0670T All Corneal Collagen Cross-Linking 0402T All

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.