Prior Auth Required

58661 - LAPAROSCOPIC, REMOVAL OF ADNEXAL STRUCTURE

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceLAPAROSCOPIC, REMOVAL OF ADNEXAL STRUCTURE
Procedure / Service Description

CODES REMOVED FROM PRIOR AUTHORIZATION LIST (Continued) - 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 58700 REMOVAL OF FALLOPIAN TUBE 58740 LYSIS OF ADNEXAL ADHESIONS

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.