Billing and Coding: Transurethral Waterjet Ablation of the Prostate

Coverage for transurethral waterjet ablation of the prostate is determined by the reasonable and necessary criteria in LCD DL38705; services not meeting that LCD are non-covered and must not be billed as covered. All patient records must be maintained, legible, include patient identifiers and provider signature, and must support the chosen ICD-10-CM and CPT/HCPCS codes; use the appropriate modifier when billing non-covered services.

"Transurethral waterjet ablation of the prostate is covered only when the service meets the reasonable and necessary requirements specified in Local Coverage Determination (LCD) DL38705."

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