Prior Auth Required

58760 - Surgical - Pelvic FIMBRIOPLASTY

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceSurgical - Pelvic FIMBRIOPLASTY
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 44 - Surgical - Pelvic 58760 FIMBRIOPLASTY Surgical - Pelvic 58770 CREATE NEW TUBAL OPENING

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.