Blue Cross and Blue Shield of Montana prior authorization 54411
Blue Cross and Blue Shield of Montana prior authorization for 54411: Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue
- Code
- 54411
- Description
- Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 46 Original policy