58956 prior authorization | Anthem Blue Cross and Blue Shield Virginia
58956, Bilateral Salpingo-Oophorectomy With Total Omentectomy, Total Abdominal Hysterectomy For Malignancy, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 58956
- Description
- Bilateral Salpingo-Oophorectomy With Total Omentectomy, Total Abdominal Hysterectomy For Malignancy
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 24 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization