Prior Auth Required

58260 - Vaginal hysterectomy, for uterus 250 g or Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceVaginal hysterectomy, for uterus 250 g or Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan
Procedure / Service Description

(subtotal hysterectomy), with or without documentation of medical necessity, - removal of tube(s), with or without removal operative report. No review required for of ovary(s) gynecologic malignant conditions. 58260 Vaginal hysterectomy, for uterus 250 g or Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan less; of Service of care, and documentation of medical necessity including for site of service. Site

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.