Billing and Coding: Transurethral Waterjet Ablation of the Prostate

Coverage for transurethral waterjet ablation of the prostate is governed by LCD L38726 and is allowed only when the LCD's reasonable and necessary criteria are met. Claims must not represent non-covered services as covered (use the appropriate modifier for non-covered services), and complete, legible medical records supporting the chosen ICD-10-CM and CPT/HCPCS codes—including provider signature and patient identification—must be maintained and available upon request.

"Transurethral waterjet ablation of the prostate is covered only when it meets the reasonable and necessary requirements specified in Local Coverage Determination L38726."

Sign up to see full coverage criteria, indications, and limitations.