Prior Auth Required

58571 - Laparoscopy, surgical, with total Prior Authorization Required Medical Necessity Submit History and Physical

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceLaparoscopy, surgical, with total Prior Authorization Required Medical Necessity Submit History and Physical
Procedure / Service Description

hysterectomy, for uterus 250 g or less; documentation of medical necessity, - operative report. No review required for gynecologic malignant conditions. 58571 Laparoscopy, surgical, with total Prior Authorization Required Medical Necessity Submit History and Physical, hysterectomy, for uterus 250 g or less; with documentation of medical necessity, removal of tube(s) and/or ovary(s) 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.