Traditional MedicareCoverageMedium impact
Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia (BPH)
Medicare/CMS - LCD·Urology·Local Coverage Determination
Effective date
Apr 2, 2026
We identified it
Jun 17, 2026
Summary
This is a new Local Coverage Determination (LCD) for fluid jet system treatment of benign prostatic hyperplasia (BPH) under Medicare. The policy establishes coverage criteria and billing guidelines for this specific BPH treatment modality, effective April 2, 2026.
Action Required
Before April 2, 2026: Review the full LCD L38378 policy text to identify specific coverage criteria, documentation requirements, and applicable CPT codes for fluid jet system BPH treatments. Update billing protocols and provider documentation requirements accordingly. Ensure compliance with Medicare guidelines for this procedure.