Anthem Blue Cross Blue Shield of Georgia prior authorization 58200

Anthem Blue Cross Blue Shield of Georgia prior authorization for 58200: Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s)

Code: 58200
Description: Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, 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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