58200 prior authorization | Anthem Blue Cross Blue Shield of California

58200, Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 58200
Description: Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s)
Source: California PPO Prior Authorization List, Pg 9 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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