Prior Auth Required

57296 - Revision (including removal) of prosthetic vaginal graft; open abdominal approach

This procedure appears on the selected insurer prior authorization source.

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

Code NAME/DESCRIPTION COMMENTS - 57292 Construction of artificial vagina; with graft 57295 Revision (including removal) of prosthetic vaginal graft; vaginal approach 57296 Revision (including removal) of prosthetic vaginal graft; open abdominal approach 57335 Vaginoplasty for intersex state 57426 Revision (including removal) of prosthetic vaginal graft, laparoscopic approach

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.