58263 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

58263, Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 58263
Description: Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele
Source: New Hampshire Precertification List, Pg 9 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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