Prior Auth Required

55874 - Transperineal peri prostatic biodegradable material placement All

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceTransperineal peri prostatic biodegradable material placement All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Tactile breast imaging 0422T All Synthetic implant for abdominal wall reinforcement 0437T All Transperineal peri prostatic biodegradable material placement 55874 All Cryoablation of peripheral/truncal nerve(s) 0440T, 0441T, 0442T All Real time spectral analysis of prostate tissue by fluorescence 0443T 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.