54416 prior authorization | Blue Cross and Blue Shield of Montana
54416, Removal and replacement of non- inflatable (semi-rigid) or inflatable (self- contained) penile prosthesis at the same operative session, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.
- Code
- 54416
- Description
- Removal and replacement of non- inflatable (semi-rigid) or inflatable (self- contained) penile prosthesis at the same operative session
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 46 Original policy