Blue Cross and Blue Shield of Minnesota policy
Hysterectomy Surgery for Non-Malignant Conditions
Hysterectomy Surgery for Non-Malignant Conditions is a public Blue Cross and Blue Shield of Minnesota policy (policy IV-168, effective Jul 27, 2026). It lists 28 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
- Policy number
- IV-168
- Effective
- Jul 27, 2026
- Line of business
- Commercial, Medicaid
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Blue Cross and Blue Shield of Minnesota policies |
|---|---|
| 58150 | Policies naming 58150 |
| 58152 | Policies naming 58152 |
| 58180 | Policies naming 58180 |
| 58260 | Policies naming 58260 |
| 58262 | Policies naming 58262 |
| 58263 | Policies naming 58263 |
| 58267 | Policies naming 58267 |
| 58270 | Policies naming 58270 |
| 58275 | Policies naming 58275 |
| 58280 | Policies naming 58280 |
| 58290 | Policies naming 58290 |
| 58291 | Policies naming 58291 |
| 58292 | Policies naming 58292 |
| 58293 | Policies naming 58293 |
| 58294 | Policies naming 58294 |
| 58541 | Policies naming 58541 |
| 58542 | Policies naming 58542 |
| 58543 | Policies naming 58543 |
| 58544 | Policies naming 58544 |
| 58550 | Policies naming 58550 |
| 58552 | Policies naming 58552 |
| 58553 | Policies naming 58553 |
| 58554 | Policies naming 58554 |
| 58570 | Policies naming 58570 |
| 58571 | Policies naming 58571 |
| 58572 | Policies naming 58572 |
| 58573 | Policies naming 58573 |
| 59525 | Policies naming 59525 |