Blue Cross and Blue Shield of Minnesota policy
Penile Prosthesis Implantation
Penile Prosthesis Implantation is a public Blue Cross and Blue Shield of Minnesota policy (policy IV-166, effective Mar 2, 2026). It lists 7 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
- Policy number
- IV-166
- Effective
- Mar 2, 2026
- Line of business
- Commercial, Medicaid
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Blue Cross and Blue Shield of Minnesota policies |
|---|---|
| 54400 | Policies naming 54400 |
| 54401 | Policies naming 54401 |
| 54405 | Policies naming 54405 |
| 54410 | Policies naming 54410 |
| 54416 | Policies naming 54416 |
| C1813 | Policies naming C1813 |
| C2622 | Policies naming C2622 |