58267 prior authorization | Anthem Blue Cross Blue Shield of California

58267, Vaginal hysterectomy, for uterus 250 g or less; with colpo- urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 58267
Description: Vaginal hysterectomy, for uterus 250 g or less; with colpo- urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control
Source: California PPO Prior Authorization List, Pg 10 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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