58545 prior authorization | Anthem Blue Cross Blue Shield of Georgia
58545, Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 58545
- Description
- Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas
- Source
- Standard Local Prior Authorization Code List, Pg 24 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization