58152 prior authorization | Anthem Blue Cross and Blue Shield Virginia

58152, Total Abdominal Hysterectomy W/Wo Removal Tube(S)/Ovary(S); W/Colpo-Urethrocystopexy, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 58152
Description: Total Abdominal Hysterectomy W/Wo Removal Tube(S)/Ovary(S); W/Colpo-Urethrocystopexy
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 23 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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