Prior Auth Required

58545 - LAPAROSCOPIC, MYOMECTOMY 1 to 4 MYOMAS WITH TOTAL WEIGHT ≤ 250 G

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceLAPAROSCOPIC, MYOMECTOMY 1 to 4 MYOMAS WITH TOTAL WEIGHT ≤ 250 G
Procedure / Service Description

CODES REMOVED FROM PRIOR AUTHORIZATION LIST (Continued) - 58543 LAPAROSCOPIC, SUPRACERVICAL HYSTERECTOMY >250G 58544 LAPAROSCOPIC, SUPRACERVICAL HYSTERECTOMY WITH TUBE(S) AND OVARY(S), >250G 58545 LAPAROSCOPIC, MYOMECTOMY 1 to 4 MYOMAS WITH TOTAL WEIGHT ≤ 250 G 58554 LAPAROSCOPIC, VAGINAL HYSTERECTOMY, UTERUS >250G, SALPINGO-OOPHORECTOMY 58661 LAPAROSCOPIC, REMOVAL OF ADNEXAL STRUCTURE

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.