What insurance policy changes affect CPT 58291?

There are 9 tracked policy changes affecting CPT 58291, including updates from Regence BlueShield, Sentara Health Plans, Highmark. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 58291?

Payers that have issued tracked updates for CPT 58291 include: Regence BlueShield, Sentara Health Plans, Highmark, Independence Blue Cross.

How do I get notified when CPT 58291 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 58291. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 58291?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

58291 — A vaginal hysterectomy is performed, including removal of the uterus through a complex surgical approach.: Insurance Policy Changes

58291 Insurance Policy Changes

CPT 58291, in plain terms, covers A vaginal hysterectomy is performed, including removal of the uterus through a complex surgical approach. CPT 58291 is referenced in 9 tracked payer policy changes from Regence BlueShield, Sentara Health Plans, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 58291 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Medium impact

11.08.19s, Prophylactic Mastectomy, Oophorectomy/Salpingo-Oophorectomy, and Hysterectomy

Independence Blue Cross·Effective Oct 1, 2025

Independence Blue Cross has reissued policy 11.08.19s (now version 11.08.19t) for prophylactic mastectomy, oophorectomy/salpingo-oophorectomy, and hysterectomy with updated ICD-10 codes effective 10/01/2025. Nine new diagnosis codes have been added to support coverage determinations, including codes for inflammatory breast cancer, genetic susceptibility to fallopian tube malignancy, and family/personal history of fallopian tube cancer. The coverage criteria and medical necessity standards remain unchanged from the prior version.

58291 Insurance Policy Changes

Hysterectomy

Authorization Updates - Effective January 1, 2026

32 Hysterectomy Codes Removed from Prior Authorization List

MA11.077j, Prophylactic Mastectomy, Oophorectomy/Salpingo-Oophorectomy, and Hysterectomy

11.08.19t, Prophylactic Mastectomy, Oophorectomy/Salpingo-Oophorectomy, and Hysterectomy

MA11.077i, Prophylactic Mastectomy, Oophorectomy/Salpingo-Oophorectomy, and Hysterectomy

MA11.077i, Prophylactic Mastectomy, Oophorectomy/Salpingo-Oophorectomy, and Hysterectomy

11.08.19s, Prophylactic Mastectomy, Oophorectomy/Salpingo-Oophorectomy, and Hysterectomy

11.08.19s, Prophylactic Mastectomy, Oophorectomy/Salpingo-Oophorectomy, and Hysterectomy