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58570 - Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceLaparoscopy, surgical, with total hysterectomy, for uterus 250 g or less
Procedure / Service Description

Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including - Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus >250gms; W/Remove Tube(S) &/Or 58554 Ovary(S) 58570 Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less Laparoscopy, surgical, with total hysterectomy, for uterus 250g or less;with removal of tube(s) 58571 and/or ovary (s)

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.