Billing and Coding: Fluid Jet System Treatment for LUTs/BPH

This coding and billing guidance supplements the LCD for Fluid Jet System Treatment for LUTS/BPH and emphasizes that procedure codes may be subject to NCCI and OPPS edits. Claims must include a valid, specific ICD-10-CM diagnosis code and, when required, the referring/ordering physician's name and NPI; failure to meet these documentation requirements may result in the claim being returned under Section 1833(e).

"Fluid Jet System Treatment for Lower Urinary Tract Symptoms (LUTS) due to Benign Prostatic Hyperplasia (BPH) is the covered service addressed by this coding article and should be billed in accordan..."

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