CPT 52441 + 52442 BCBS

PatriciaR

Contributor
Messages
12
Location
New York, NY
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0
Has anyone received reimbursement for cpt 52441+52441. We have been billing this procedure and it keeps getting denied as investigation/not medically necessary. This is for BCBS in the state of NY. Has anyone else been having issues? If so please provide any guidance.

Thank you.
 

kathrynw

Networker
Administrator
Messages
98
Location
Grantsville, UT
Best answers
0
Hello,

UroLift offers a host of information on prior authorization and contacting private payers to determine coverage on procedures of this nature. It might be helpful to read the information provided and custom tailor the information to your communication with BCBS of NY; as they could require HCPCS codes instead of CPT or they may require medical records.

https://www.urolift.com/physicians/reimbursement-details

Good Luck,
 
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