Prior Auth Required

58770 - Surgical - Pelvic CREATE NEW TUBAL OPENING

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceSurgical - Pelvic CREATE NEW TUBAL OPENING
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 44 - Surgical - Pelvic 58760 FIMBRIOPLASTY Surgical - Pelvic 58770 CREATE NEW TUBAL OPENING Transplant 58999 Unlisted procedure, female genital system (nonobstetrical) [when

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.