P2P Call Guide

How to Win a P2P Call for Hysterectomy Denied by Anthem BCBS

Payer-specific strategy, medical necessity arguments, and the exact phrases to use when Anthem / Blue Cross Blue Shield denies Hysterectomy (CPT 58571, 58573, 58150).

Why Anthem BCBS Denies Hysterectomy

Conservative management not exhausted (hormonal therapy, ablation)

Uterine size does not meet threshold

Alternative less invasive procedures not tried

Know Anthem / Blue Cross Blue Shield's Criteria

Anthem uses their own Clinical UM Guidelines and AIM Specialty Health for imaging. Medical policy numbers are publicly searchable.

Key policies to know:

  • AIM Specialty Health manages imaging prior auth
  • Clinical UM Guidelines searchable at anthem.com/provider
  • Known for strict imaging prior auth requirements
  • Uses evidence-based medicine approach with published policies

Building Your Medical Necessity Argument

Document failure of hormonal management

Note uterine size and symptom severity

Explain why less invasive alternatives are not appropriate

Reference impact on quality of life and functional status

P2P Call Tips for Anthem BCBS

Reference specific Anthem Clinical UM Guideline by policy number

For imaging, address AIM criteria specifically

Anthem medical directors appreciate evidence-based arguments

Cite specific clinical criteria being met from their own policy

Guidelines to Reference

  • ACOG Practice Bulletin on Hysterectomy
  • AAGL Practice Guidelines for Hysterectomy

Relevant CPT Codes

CPT 58571CPT 58573CPT 58150

Specialty: Gynecology

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