Prior Auth Required

58670 - PR LAP,TUBAL NO AUTHORIZATION REQUIRED MD GUIDELINE 1 (BILATERAL CLINICAL INFORMATION S, SK C, CP 5/1/2022

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePR LAP,TUBAL NO AUTHORIZATION REQUIRED MD GUIDELINE 1 (BILATERAL CLINICAL INFORMATION S, SK C, CP 5/1/2022
Procedure / Service Description

Effective Date - Effective Date 58670 PR LAP,TUBAL NO AUTHORIZATION REQUIRED MD GUIDELINE 1 (BILATERAL CLINICAL INFORMATION S, SK C, CP 5/1/2022 CAUTERY TUBAL LIGATION WITH AND DOCUMENTS TO SALPINGECTOMY OR SUPPORT MEDICAL

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.