Prior Auth Required

58578 - Unlisted laparoscopy procedure, uterus Medical necessity review will be Medical Necessity Review required at claims submission

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceUnlisted laparoscopy procedure, uterus Medical necessity review will be Medical Necessity Review required at claims submission
Procedure / Service Description

hysterectomy, for uterus greater than 250 documentation of medical necessity, - g; with removal of tube(s) and/or ovary(s) operative report. No review required for gynecologic malignant conditions. 58578 Unlisted laparoscopy procedure, uterus Medical necessity review will be Medical Necessity Review required at claims submission; performed upon claims submission submit description of procedure with with supporting documentation. supporting documentation (including

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.