Category III Codes
J5 · Effective Oct 1, 2015
23 active Medicare policies list 52597, and 4 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
Free account. Policy pages stay open to everyone.
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J15 · Effective Apr 1, 2020
J6 · Effective Apr 1, 2020
JK · Effective Apr 1, 2020
J9 · Effective Dec 27, 2020
JE · Effective Dec 27, 2020
JF · Effective Dec 27, 2020
JH · Effective Dec 27, 2020
4 policies from 4 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 52597 |
|---|---|---|
| Benign Prostatic Hyperplasia Surgical Treatments | Apr 1, 2026 | Covered |
| Policy | Effective | Status of 52597 |
|---|---|---|
| Prostate Surgeries and Interventions – Surest Medical Policy | Jun 1, 2026 | Covered |
| Policy | Effective | Status of 52597 |
|---|---|---|
| Prostate Surgeries and Interventions |
JL · Effective Dec 27, 2020
JJ · Effective Dec 27, 2020
JM · Effective Dec 27, 2020
J5 · Effective Dec 27, 2020
J8 · Effective Dec 27, 2020
National · Effective Apr 2, 2026
J6 · Effective Apr 1, 2026
National · Effective Jan 1, 2026
J5 · Effective Jan 1, 2026
National · Effective Mar 5, 2026
JL · Effective Jan 1, 2026
J9 · Effective Jan 1, 2026
| Jun 1, 2026 |
| Covered |
| Policy | Effective | Status of 52597 |
|---|---|---|
| Prostate Surgeries and Interventions | Jun 1, 2026 | Covered |