58554 prior authorization | Anthem Blue Cross Blue Shield of California

58554, Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 58554
Description: Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)
Source: California PPO Prior Authorization List, Pg 10 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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