58674 prior authorization | Anthem Blue Cross Blue Shield of Georgia

58674, Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 58674
Description: Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency
Source: Standard Local Prior Authorization Code List, Pg 132 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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