Prior Auth Required

0058T - Removed termed code and replaced with

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceRemoved termed code and replaced with
Procedure / Service Description

services. - 5/1/2021 Added section to address coverage for intra-cytoplasmic sperm injection (ICSI). Removed termed code 0058T and replaced with 89398. 3/11/2020 Added infertility treatment in connection with reversal of a

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.