Cryosurgery of Prostate

Cryosurgery is covered as a primary treatment for clinically localized prostate cancer (stages T1–T3). Salvage cryosurgery is covered only for localized recurrent prostate cancer after documented failure of a trial of radiation therapy and when the patient meets specified tumor criteria (e.g., stage T2B or below and a Gleason score threshold noted by policy but not specified in this extract). Services performed before June 30, 2001 are not covered, and salvage cryosurgery following failure of non-radiation primary therapies is excluded.

"Cryosurgery is covered as a primary treatment for clinically localized prostate cancer stages T1 through T3."

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