58152 prior authorization | Anthem Blue Cross Blue Shield of Georgia

58152, Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 58152
Description: Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch)
Source: Standard Local Prior Authorization Code List, Pg 103 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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