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Provider Notices

Prior Authorization Requirements - Effective January 1, 2021

1/20/2021 8:31:32 AM

Effective January 1, 2021 the following codes have been removed from our Prior Authorization grid.  Every year prior authorization requirements are subject to change; some codes are added while others are removed. Please see our Prior Authorization grid to confirm whether a service requires a prior authorization. 

  • 58660-Laparoscopy, Surgical; W/Lysis, Adhesions (Salpingolysis/Ovariolysis) (Sep Proc)
  • 58661-Laparoscopy, Surgical;W/Removal, Adnexal Structures