58292 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

58292, Vaginal hysterectomy, for uterus greater than 250 g; 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: 58292
Description: Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele
Source: New Hampshire Precertification List, Pg 10 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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