About this policy
CMS National Coverage Determination | ncd_id=123 | manual_section=230.9 | coverage_level_code=3 | national_coverage_type=True | under_review=True | lab_ncd=False
Coverage indications
Cryosurgery of the prostate as a salvage therapy is not covered for any services performed prior to June 30, 2001. Salvage Cryosurgery of Prostate After Radiation Failure. Salvage cryosurgery of the prostate for recurrent cancer is medically necessary and appropriate only for those patients with localized disease who: Have failed a trial of radiation therapy as their primary treatment; and Meet one of the following conditions: Stage T2B or below, Gleason score Cryosurgery as salvage therapy is therefore not covered under Medicare after failure of other therapies as the primary treatment. Cryosurgery as salvage is only covered after the failure of a trial of radiation therapy, under the conditions noted above.
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.