Anthem Blue Cross Blue Shield of Georgia prior authorization 58145

Anthem Blue Cross Blue Shield of Georgia prior authorization for 58145: Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach

Code: 58145
Description: Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach
Source: Standard Local Prior Authorization Code List, Pg 23 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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