52442 prior authorization | Blue Cross and Blue Shield of Montana

52442, Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure), is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 52442
Description: Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 46 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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