Laparoscopic Removal of Ovarian Cyst or Adnexal Mass
What is this procedure?
Minimally invasive surgical removal of an ovarian cyst, adnexal mass, or ovarian lesion using laparoscopic techniques. Performed for persistent ovarian cysts, endometriomas, dermoid cysts, or suspicious adnexal masses requiring histologic evaluation.
Does this require prior authorization?
Medical Necessity Tips
What clinical evidence supports approval
- Imaging confirming persistent or complex ovarian cyst >5cm
- CA-125 or other tumor markers if malignancy suspected
- Document failure of observation period (6-8 weeks for simple cysts)
- Symptomatic cysts causing pain or torsion risk support urgency
What to Do If Denied
If your laparoscopic removal of ovarian cyst or adnexal mass is denied, you have the right to appeal. Most denials are overturned on appeal when proper documentation is provided.
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