Prior Auth Required

57295 - Revision (including removal) of prosthetic vaginal graft, vaginal approach

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRevision (including removal) of prosthetic vaginal graft, vaginal approach
Procedure / Service Description

Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including - 57291 Construction, Artificial Vagina; W/O Graft 57292 Construction, Artificial Vagina; W/Graft 57295 Revision (including removal) of prosthetic vaginal graft, vaginal approach 57296 Revision (including removal) of prosthetic vaginal graft; open abdominal approach 57335 Vaginoplasty, Intersex State

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.