Billing and Coding: Transurethral Waterjet Ablation of the Prostate

This billing and coding article clarifies that billing for transurethral waterjet ablation of the prostate must follow the coverage criteria of LCD L38682 and that non-covered services must not be billed as covered; an appropriate modifier is required when billing non-covered services. It also requires that medical records be legible, include patient identifiers and provider signature, and support the selected ICD-10-CM and CPT/HCPCS codes.

"Do not bill Medicare for transurethral waterjet ablation services that are not covered by the related LCD L38682 as if they are covered."

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