58200 prior authorization | Anthem Blue Cross Blue Shield of Georgia
58200, Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 58200
- Description
- Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s)
- Source
- Standard Local Prior Authorization Code List, Pg 104 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization