Prior Auth Required

58571 - Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or

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; with removal of tube(s) and/or
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - and/or ovary(s) 58570 Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; 58571 Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) 58572 Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;

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.