Prior Auth Required

58740 - LYSIS OF ADNEXAL ADHESIONS

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceLYSIS OF ADNEXAL ADHESIONS
Procedure / Service Description

CODES REMOVED FROM PRIOR AUTHORIZATION LIST (Continued) - 58661 LAPAROSCOPIC, REMOVAL OF ADNEXAL STRUCTURE 58700 REMOVAL OF FALLOPIAN TUBE 58740 LYSIS OF ADNEXAL ADHESIONS 59841 INDUCED ABORTION BY DILATION AND EVACUATION 59850 INDUCED ABORTION BY INTRA-AMNIOTIC INJECTION

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.