CommercialCoverageMedium impact
Focal Treatments for Prostate Cancer
Blue Cross & Blue Shield of Mississippi·MS · Urology, Oncology·Medical Policy
We identified it
Jun 20, 2026
Summary
BCBS Mississippi has updated their medical policy for focal treatments for prostate cancer, maintaining that all focal therapy modalities (including focal laser ablation, HIFU, cryoablation, radiofrequency ablation, photodynamic therapy, and irreversible electroporation) remain investigational and are not covered. The policy provides updated device information and FDA clearances but does not change the coverage determination.
Action Required
Billing team should verify that claims for focal prostate cancer treatments using CPT codes 55899, 55880, and 0655T continue to be flagged as investigational/non-covered for BCBS Mississippi members. Ensure providers are aware that these procedures remain non-covered despite updated device information in the policy.