Prior Auth Required

58180 - Hysterectomy (abdominal

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceHysterectomy (abdominal
Procedure / Service Description

UMC APPROVAL DATE: 12/18/2024 - G0494, G0495, G0496, G2168, G2169, S9122, S9123, S9124, S9127, S9128, S9129, S9131, S9474 Hysterectomy (abdominal 58150, 58152, 58180, 58541, 58542, 58543, 58544, 58550, 58552, and laparoscopic surgeries) 58553, 58554, 58570, 58571, 58572, 58573 – Inpatient and outpatient

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.