9 commercial payer policies list 53865. 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.
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9 policies from 8 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 53865 |
|---|---|---|
| Cigna Commercial Other Services Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 53865 |
|---|---|---|
| Temporarily Implanted Nitinol Device (iTind) for Benign Prostatic Hyperplasia | Apr 1, 2026 | Covered |
| Policy | Effective | Status of 53865 |
|---|---|---|
| Temporarily Implanted Nitinol Device (iTind) for Benign Prostatic Hyperplasia | Apr 1, 2026 |
| Covered |
| Policy | Effective | Status of 53865 |
|---|---|---|
| Temporarily Implanted Nitinol Device (iTind) for Benign Prostatic Hyperplasia | Apr 1, 2026 | Covered |
| Policy | Effective | Status of 53865 |
|---|---|---|
| Temporarily Implanted Nitinol Device (iTind) for Benign Prostatic Hyperplasia | Apr 1, 2026 | Covered |
| Policy | Effective | Status of 53865 |
|---|---|---|
| Prostate Surgeries and Interventions – Surest Medical Policy | Jun 1, 2026 | Covered |
| Policy | Effective | Status of 53865 |
|---|---|---|
| Prostate Surgeries and Interventions | Jun 1, 2026 | Covered |
| Policy | Effective | Status of 53865 |
|---|---|---|
| Prostate Surgeries and Interventions | Jun 1, 2026 | Covered |