Prior Auth Required

58750 - Tubotubal anastomosis Prior Authorization Required Medical Necessity Submit History and Physical

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceTubotubal anastomosis Prior Authorization Required Medical Necessity Submit History and Physical
Procedure / Service Description

(salpingoneostomy) documentation of medical necessity, - operative report if surgical) only for the date of service performed. 58750 Tubotubal anastomosis Prior Authorization Required Medical Necessity Submit History and Physical, documentation of medical necessity, operative report

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.