Prior Auth Required

57426 - Cosmetic Potential Revision (including removal) of prosthetic vaginal graft

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic Potential Revision (including removal) of prosthetic vaginal graft
Procedure / Service Description

brachytherapy - Cosmetic Potential 57335 Vaginoplasty for intersex state Cosmetic Potential 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.