58210 prior authorization | Anthem Blue Cross Blue Shield of California
58210, Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), 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
- 58210
- Description
- Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), 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