Prior Auth Required
58760 - Fimbrioplasty Prior Authorization Required Medical Necessity Submit History and Physical
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceFimbrioplasty Prior Authorization Required Medical Necessity Submit History and Physical
Procedure / Service Description
documentation of medical necessity, - documentation of medical necessity, operative report 58760 Fimbrioplasty 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.