CommercialCoverageMedium impact
Cryosurgical Ablation of Miscellaneous Solid Tumors other than Renal, Liver and Prostate
Blue Cross Blue Shield of Rhode Island·RI · Oncology, General Surgery, OB-GYN·Physician / Facility
Effective date
Dec 1, 2021
We identified it
Jun 19, 2026
Summary
Effective December 1, 2021, CPT code 0581T for Cryoablation of Malignant Breast Tumor(s) has been added to the cryosurgical ablation policy. This procedure remains not medically necessary for commercial products and is not covered for Medicare Advantage plans.
Action Required
Billing team must update system to deny coverage for CPT code 0581T (Cryoablation of Malignant Breast Tumor) for both commercial and Medicare Advantage plans. Update encounter forms and billing software to flag this code as non-covered. Claims submitted for this code will be denied.