Medicare AdvantagePrior AuthMedium impact
Prostatic urethral lift
Blue Cross Blue Shield of Rhode Island·RI · Urology·Physician / Facility
Effective date
Dec 1, 2018
We identified it
Jun 20, 2026
Summary
Prostatic urethral lift procedures are now considered medically necessary when policy criteria are met. Prior authorization is required for BlueCHiP Medicare plans and recommended for Commercial products.
Action Required
Immediately: Billing team must obtain prior authorization for all prostatic urethral lift procedures for BlueCHiP Medicare patients by calling (401) 272-5670 ext. 3012 or faxing to (401) 272-8885. Update billing system to flag these procedures for prior auth requirements. For Commercial plans, prior authorization is recommended to avoid potential denials.