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PAYER POLICY CHANGES

58674 Insurance Policy Changes

CPT 58674, in plain terms, covers A surgical procedure using a camera to find and destroy uterine fibroids inside the uterus. CPT 58674 is referenced in 5 tracked payer policy changes from Blue Cross and Blue Shield of Kansas City, Sentara Health Plans, and 3 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 58674 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 58674 on AAPC

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REFERENCE DATA

Payers with rules5
Payers requiring prior auth5
  • Anthem BCBS · Effective November 1, 2026

    Prior authorization required

    Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial)

  • Fidelis Care · Effective November 1, 2026

    Prior authorization required in some cases

    Fidelis Care Metal-Level Products authorization grid

  • Excellus BlueCross BlueShield · Effective October 1, 2026

    Prior authorization required

    Excellus BCBS utilization management standard clinical review preauthorization list

FREQUENTLY ASKED QUESTIONS

Does Anthem BCBS require prior authorization for 58674?

Anthem BCBS lists 58674 on Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial) for commercial plans (list dated November 1, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for 58674?

CalViva Health lists 58674 on CalViva Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Community Health Plan of Imperial Valley require prior authorization for 58674?

Community Health Plan of Imperial Valley lists 58674 on Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Excellus BlueCross BlueShield require prior authorization for 58674?

Excellus BlueCross BlueShield lists 58674 on Excellus BCBS utilization management standard clinical review preauthorization list for commercial plans (list dated October 1, 2026). Verify with the payer before scheduling.

Does Fidelis Care require prior authorization for 58674?

Fidelis Care lists 58674 on Fidelis Care Metal-Level Products authorization grid for exchange plans, with conditions (list dated November 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 58674?

There are 5 tracked policy changes affecting CPT 58674, including updates from Blue Cross and Blue Shield of Kansas City, Sentara Health Plans, Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 58674?

Payers that have issued tracked updates for CPT 58674 include: Blue Cross and Blue Shield of Kansas City, Sentara Health Plans, Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross Blue Shield of Rhode Island.

How do I get notified when CPT 58674 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 58674. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for CPT 58674?

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.

See every payer rule for 58674

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 58674 in one place.

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