CPT 11980 · Other Procedure · Priority Partners MCO
Testopel (testosterone pellet implantation) at Priority Partners MCO.
How Priority Partners MCO approaches CPT 11980 (Testopel (testosterone pellet implantation)) for prior-authorization review: at last review on 2026-04-27, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Criteria summary
High-level themes from the Priority Partners MCO policy of record for CPT 11980. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
Source: Priority Partners (JHHC) — Maryland Medicaid (Medical Drug PA)
See the full Priority Partners MCO criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →