58210 prior authorization | Anthem Blue Cross Blue Shield of Georgia

58210, Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), 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: 58210
Description: Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), 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

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