Harvard Pilgrim has updated our commercial Benign Prostatic Hypertrophy Medical Policy to include additional coverage criteria for the applicable procedures listed, and to add coverage for prostatic urethral lift (UroLift). Prior authorization is not required.
Harvard Pilgrim now covers the following CPT codes for UroLift for the treatment of urinary outlet obstruction secondary to benign prostatic hypertrophy, when all the criteria outlined on the policy are met:
- 52441 – Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant
- 52442 – Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant
For complete information, please refer to the updated Benign Prostatic Hypertrophy Medical Policy.