Billing and Coding: Transurethral Waterjet Ablation of the Prostate

This billing and coding guidance references LCD L38707 for transurethral waterjet ablation of the prostate and instructs that services not covered by the LCD must not be billed as covered; non-covered services should be billed with the appropriate modifier. It requires complete, legible medical records with patient identifiers, provider signature, and documentation that supports the selected ICD-10-CM and CPT/HCPCS codes.

"Do not bill Medicare for services that are not covered by LCD L38707 as if they are covered."

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