52442 prior authorization | Blue Cross Blue Shield Oklahoma

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 Blue Shield Oklahoma 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 Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 238 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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