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Prophylactic Oophorectomy

Blue Cross & Blue Shield of Mississippi·MS · OB-GYN, Oncology·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

This is a policy review with no changes for prophylactic oophorectomy coverage. The policy maintains that the procedure is medically necessary for women with confirmed BRCA mutations or site-specific ovarian cancer family history after childbearing completion or age 35, but remains investigational for other populations.

Action Required

Action needed
No action required. This is a policy review with no changes. Continue following existing coverage guidelines for prophylactic oophorectomy procedures.

Affected Billing Codes

58661
58940
V16.41
Z80.41
V50.42
Z40.02
V82.71
Z13.71
V83.89
Z14.8
V84.02
Z15.02

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