Prior Auth Required

58542 - LAPAROSCOPIC, SUPRACERVICAL HYSTERECTOMY <250G, REMOVAL OF TUBE(S) AND OVARIE(S)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceLAPAROSCOPIC, SUPRACERVICAL HYSTERECTOMY <250G, REMOVAL OF TUBE(S) AND OVARIE(S)
Procedure / Service Description

CODES REMOVED FROM PRIOR AUTHORIZATION LIST (Continued) - 58291 VAGINAL HYSTERECTOMY, UTERUS >250 G WITH REMOVAL OF TUBE(S) AND OVARY(S) 58541 LAPAROSCOPIC, SUPRACERVICAL HYSTERECTOMY <250G 58542 LAPAROSCOPIC, SUPRACERVICAL HYSTERECTOMY <250G, REMOVAL OF TUBE(S) AND OVARIE(S) 58543 LAPAROSCOPIC, SUPRACERVICAL HYSTERECTOMY >250G 58544 LAPAROSCOPIC, SUPRACERVICAL HYSTERECTOMY WITH TUBE(S) AND OVARY(S), >250G

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.