MedicaidCoverageMedium impact
Transcervical Fibroid Ablation (TFA) Coverage Effective January 1, 2024
Illinois Medicaid - HFS·IL · OB-GYN·Provider Notice
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Illinois Medicaid now covers Transcervical Fibroid Ablation (CPT 58580) effective January 1, 2024, as a less invasive treatment for uterine fibroids. The procedure does not require prior authorization for fee-for-service Medicaid but may require it for managed care organizations.
Action Required
Immediately: Update billing system to include CPT 58580 as covered for Illinois Medicaid fee-for-service patients. Providers must document specific coverage criteria in medical records including patient age 18-50, fibroid size <7cm, symptoms, and contraindication absence. Contact individual MCOs to verify prior authorization requirements for managed care patients.