Prior Auth Required

58290 - Vaginal hysterectomy, for uterus greater 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 greater Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan
Procedure / Service Description

vaginectomy; with repair of enterocele of Service documentation of medical necessity, - operative report. No review required for gynecologic malignant conditions. 58290 Vaginal hysterectomy, for uterus greater Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan than 250 grams; 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.