Billing and Coding: Transurethral Waterjet Ablation of the Prostate

This billing and coding guidance supplements LCD L38549: coverage for transurethral waterjet ablation of the prostate applies only when the service meets the LCD's reasonable and necessary criteria. Claims must be supported by legible medical records with patient identification, provider signature, documentation supporting ICD-10-CM code selection, and accurate CPT/HCPCS coding; non-covered services must be billed with the appropriate modifier.

"Transurethral waterjet ablation of the prostate is covered only when it meets the reasonable and necessary requirements specified in the Local Coverage Determination (LCD) L38549."

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