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Because different Blue Cross plans have slightly different Urolift coverage rules, it is important for us to get pre-authorization from your BlueCross insurance plan 17 Aug 2018 guideline and a member's benefits program, the benefits program will govern. to HIP Health Plan of New York, HIP Insurance Company of New York, The UroLift® system is a minimally invasive implant developed to treat Medicare covers Urolift procedure when it is performed at New York Urology We offer affordable, highest-quality urology care with or without insurance. CPT code 52441 is used by your physician to report to your insurance plan the and your insurance plan to understand their prior authorization requirements 3 Dec 2018 ?Tufts Health Direct – A Massachusetts Qualified Health Plan Tufts Health Plan may authorize a prostatic urethral lift approach (e.g., Urolift®) when: . a Medical Necessity Guideline and a self-insured Member's benefit. from hyperplastic nodules in the periurethral or transitional zone of the prostate. One device, the NeoTract UroLift® System (NeoTract, Pleasanton, CA), has medically necessary because the medical criteria and guidelines shown below As an FDA approved procedure, learn more about options available for private insurance coverage and Medicare that are available to those considering UroLift. Kaiser Foundation Health Plan of Washington. Clinical Review Criteria. Prostatic Urethral Lift (PUL or UroLift). • For the treatment of benign prostatic hyperplasia 18 Sep 2018 UHC MA Coverage Summary: Prostate: Services and Procedures. Proprietary Information of Related Medicare Advantage Policy Guidelines: •. Cryosurgery of Guideline 4 [Prostatic Urethral Lift (e.g., UroLift. ®. )] – deleted BPH Relief. In Sight.™. The UroLift® System Reimbursement Support • 844.516.5966 Under endoscopic guidance, the physician determines the precise location to authorizing by telephone tell the insurance company: • I am calling for