Prior Auth Required

58578 - Surgical - Pelvic Unlisted laparoscopy procedure, uterus [when

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceSurgical - Pelvic Unlisted laparoscopy procedure, uterus [when
Procedure / Service Description

brachytherapy - than 250 g; with removal of tube(s) and/or ovary(s) Surgical - Pelvic 58578 Unlisted laparoscopy procedure, uterus [when specified as HALT procedure]

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.