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Prostatic Urethral Lift PRIOR REVIEW/CERTIFICATION Request for Services Form Submission of this form is solely a notification for request for services and does not guarantee approval. All requests

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What is prostatic urethral lift?

Prostatic urethral lift is a minimally invasive procedure used to treat symptoms of benign prostatic hyperplasia (BPH) by lifting and holding the enlarged prostate tissue out of the way.

Who is required to file prostatic urethral lift?

Patients who undergo the prostatic urethral lift procedure are not required to file anything, as it is a medical procedure performed by a healthcare provider.

How to fill out prostatic urethral lift?

There is no specific form or paperwork to fill out regarding prostatic urethral lift, as it is a medical procedure done by a healthcare provider.

What is the purpose of prostatic urethral lift?

The purpose of prostatic urethral lift is to relieve symptoms of BPH by opening up the urinary tract and reducing pressure on the urethra.

What information must be reported on prostatic urethral lift?

There is no requirement to report any information regarding the prostatic urethral lift procedure.

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