Prior Auth Required

58661 - Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceLaparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 58573 Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) 58661 Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) 58720 Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)

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