Billing and Coding: Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia (BPH)

Coverage for Fluid Jet System treatment of benign prostatic hyperplasia (BPH) is determined by Local Coverage Determination L38378 and requires meeting that LCD's reasonable and necessary criteria. Do not bill Medicare for services not covered by the LCD and use the appropriate modifier for non-covered services. All patient records must be legible, include patient identifiers and provider signature, and support the selected ICD-10-CM and CPT/HCPCS codes.

"Coverage for the Fluid Jet System to treat benign prostatic hyperplasia (BPH) is governed by Local Coverage Determination L38378 and requires meeting that LCD's reasonable and necessary criteria."

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