58294 Insurance Policy Changes

CPT 58294, in plain terms, covers A surgical procedure removing the uterus through the vagina while also repairing a hernia-like bulge in the intestinal wall. CPT 58294 is referenced in 3 tracked payer policy changes from Regence BlueShield, Aetna, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 58294 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 58294 on AAPC