58267 prior authorization | Anthem Blue Cross Blue Shield of Georgia
58267, Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra typ, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 58267
- Description
- Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra typ
- Source
- Standard Local Prior Authorization Code List, Pg 104 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization