Blue Cross and Blue Shield of Texas policy
Prostatic Urethral Lift
Prostatic Urethral Lift is a public Blue Cross and Blue Shield of Texas policy (policy SUR710.023, effective Oct 15, 2025). It lists 4 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- SUR710.023
- Effective
- Oct 15, 2025
- Line of business
- Commercial, Medicaid
- Source
- medicalpolicy.hcsc.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.
| Code | Other Blue Cross and Blue Shield of Texas policies |
|---|---|
| 52441 | Policies naming 52441 |
| 52442 | Policies naming 52442 |
| C9739 | Policies naming C9739 |
| C9740 | Policies naming C9740 |
All Blue Cross and Blue Shield of Texas policies · Blue Cross and Blue Shield of Texas prior authorization CPT list