Prior Auth Required

58267 - Vaginal hysterectomy, for uterus 250 g or Prior Authorization Required Medical Necessity Including Site Submit History and Physical

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceVaginal hysterectomy, for uterus 250 g or Prior Authorization Required Medical Necessity Including Site Submit History and Physical
Procedure / Service Description

less; with removal of tube(s), and/or of Service documentation of medical necessity, - ovary(s), with repair of enterocele operative report. No review required for gynecologic malignant conditions. 58267 Vaginal hysterectomy, for uterus 250 g or Prior Authorization Required Medical Necessity Including Site Submit History and Physical, less; with colpo-urethrocystopexy (Marshall- of Service documentation of medical necessity, Marchetti-Krantz type, Pereyra type) with or operative report. No review required for

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.