Prior Auth Required

57426 - Revision (including removal) of prosthetic vaginal graft, laparoscopic approach

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRevision (including removal) of prosthetic vaginal graft, laparoscopic approach
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 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 58150 Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of 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.