55875 prior authorization | Blue Cross and Blue Shield of Montana

55875, Transperineal Placement Of Needles Or Catheters Into Prostate For Interstitial Radioelement Application With Or Without Cystoscopy, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 55875
Description: Transperineal Placement Of Needles Or Catheters Into Prostate For Interstitial Radioelement Application With Or Without Cystoscopy
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 47 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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