All PlansPrior AuthMedium impact
32 Hysterectomy Codes Removed from Prior Authorization List
Highmark·PA, NY, DE, WV · OB-GYN, General Surgery, Oncology +1 more·Provider Bulletin
Effective date
Oct 1, 2026
We identified it
Oct 20, 2026
Summary
Effective October 1, 2026, Highmark removed 32 hysterectomy-related CPT codes from its prior authorization list. Billing teams should update authorization workflows to reflect that these procedures no longer require prior authorization for Highmark members.
Action Required
Already effective October 1, 2026: Verify whether the practice has updated its billing and authorization workflows to remove the 32 listed hysterectomy CPT codes from Highmark prior authorization requirements. Confirm current applicability by reviewing Highmark's current prior authorization list on the Provider Resource Center's Obtaining Authorizations page. Update billing system configurations, authorization protocols, and provider reference materials to reflect that these procedures no longer require prior authorization submissions for Highmark-insured patients.