55868 Insurance Policy Changes

CPT 55868, in plain terms, covers A surgeon uses a camera and small tools to remove a tiny sample of tissue from lymph nodes near the prostate. CPT 55868 is referenced in 2 tracked payer policy changes from CareSource and Humana. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 55868 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 55868 on AAPC