19 commercial payer policies list 53899. 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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19 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 53899 |
|---|---|---|
| Laser Interstitial Tumor Therapy (LITT) | Jan 1, 2026 | Covered |
| Pelvic Floor Stimulation as a Treatment of Urinary or Fecal Incontinence | Oct 15, 2025 | Covered |
| Radiofrequency Energy Therapy for Stress Urinary Incontinence | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 53899 |
|---|---|---|
| Laser Interstitial Tumor Therapy (LITT) | Jan 1, 2026 | Covered |
| Oct 15, 2025 |
| Covered |
| Radiofrequency Energy Therapy for Stress Urinary Incontinence | Jan 1, 2026 | Covered |
|---|
| Policy | Effective | Status of 53899 |
|---|---|---|
| Laser Interstitial Tumor Therapy (LITT) | Jan 1, 2026 | Covered |
| Pelvic Floor Stimulation as a Treatment of Urinary or Fecal Incontinence | Oct 15, 2025 | Covered |
| Radiofrequency Energy Therapy for Stress Urinary Incontinence | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 53899 |
|---|---|---|
| Laser Interstitial Tumor Therapy (LITT) | Jan 1, 2026 | Covered |
| Pelvic Floor Stimulation as a Treatment of Urinary or Fecal Incontinence | Oct 15, 2025 | Covered |
| Radiofrequency Energy Therapy for Stress Urinary Incontinence | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 53899 |
|---|---|---|
| Portable Normothermic Organ Perfusion Systems | Oct 1, 2026 | Covered |
| Ultrasound Ablation for Oncologic Indications | Jan 6, 2026 | Covered |
| Policy | Effective | Status of 53899 |
|---|---|---|
| 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 53899 |
|---|---|---|
| Fertility Preservation | Not recorded | Covered |
| Policy | Effective | Status of 53899 |
|---|---|---|
| Benign Prostatic Hyperplasia Surgical Treatments | Apr 1, 2026 | Covered |
| Policy | Effective | Status of 53899 |
|---|---|---|
| Urinary and Fecal Incontinence: Diagnosis and Treatment | Not recorded | Covered |