55866 Insurance Policy Changes

CPT 55866, in plain terms, covers A surgeon uses a camera and small tools inserted through tiny cuts to remove the prostate gland while preserving nerve function for sexual ability. CPT 55866 is referenced in 3 tracked payer policy changes from Capital Blue Cross, Health Net, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 55866 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 55866 on AAPC