58546 prior authorization | Anthem Blue Cross Blue Shield of California

58546, Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 58546
Description: Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g
Source: California PPO Prior Authorization List, Pg 41 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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