All PlansCoverageMedium impact
Surgical Interruption of Pelvic Nerve Pathways for Primary and Secondary Dysmenorrhea
Blue Cross & Blue Shield of Mississippi·MS · OB-GYN·Medical Policy
We identified it
Jun 20, 2026
Summary
This policy confirms that laparoscopic uterine nerve ablation (LUNA) and laparoscopic presacral neurectomy (LPSN) for treating dysmenorrhea remain classified as investigational procedures. Claims for these procedures using CPT codes 58578 and 58999 will be denied as not medically necessary.
Action Required
Immediately: Billing team must verify that CPT codes 58578 and 58999 are flagged as investigational/non-covered when used for dysmenorrhea treatment (LUNA and LPSN procedures). Update billing system to prevent submission of these claims or add alerts warning of likely denial. Inform OB-GYN providers that these procedures are not covered.