Premera Blue Cross of Washington prior authorization 58150

Premera Blue Cross of Washington prior authorization for 58150: Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s)

Code
58150
Description
Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s)
Source
Clinical Review by Code List PBCWA, Pg 357 Original policy

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