58263 Insurance Policy Changes

CPT 58263, in plain terms, covers Surgical removal of the uterus through the vagina, sometimes including repair of vaginal tissue damage. CPT 58263 is referenced in 2 tracked payer policy changes from Sentara Health Plans and New Jersey Medicaid. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 58263 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 58263 on AAPC