Prior Auth Required

58294 - Vaginal hysterectomy, for uterus greater 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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Prior authorizationPrior Auth Required
Procedure / ServiceVaginal hysterectomy, for uterus greater Prior Authorization Required Medical Necessity Including Site Submit History and Physical
Procedure / Service Description

than 250 g; 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. 58294 Vaginal hysterectomy, for uterus greater Prior Authorization Required Medical Necessity Including Site Submit History and Physical, than 250 g; with repair of enterocele of Service documentation of medical necessity, 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.