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.