Prior Auth Required

58150 - Total Abdominal Hysterectomy W/Wo Removal Tube(S)/Ovary(S)

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Procedure / ServiceTotal Abdominal Hysterectomy W/Wo Removal Tube(S)/Ovary(S)
Procedure / Service Description

Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including - 57423 Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach 57425 Laparoscopy, Surgical, Colpopexy (Suspension of Vaginal Apex) 58150 Total Abdominal Hysterectomy W/Wo Removal Tube(S)/Ovary(S) Vaginal hysterectomy, for uterus greater than 250 g; with colpo-urethrocystopexy (Marshall- 58293 Marchetti-Krantz type, Pereyra type) with or without endoscopic control

Likely documents
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  • Submit clinical notes if requested by the plan
Next actions
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  • Use the insurer authorization workflow for this listed code.