UM Guidelines
Laparoscopy, Surgical with Radical Hysterectomy

Inpatient Surgical Care (ISC)

BCBST last reviewed June 30, 2021*

Added to Clinical Indications:
 
Procedure may be indicated for 1 or more of the following:
    • ...
    • Gynecologic cancer prevention for patient with 1 or more of the following:
      • Hereditary nonpolyposis colorectal cancer (ie, HNPCC, or Lynch syndrome) 
      • Other need for prophylactic bilateral salpingo-oophorectomy, and patient chooses to have coincident hysterectomy (eg, BRCA mutation). [e.g., BRCA1, BRCA2, BRIP1, RAD51C, RAD51D mutations]*
      • [Premenopausal female with estrogen or progesterone receptor-positive breast cancer,]*
    • ...
    Added to: Hospitalization - Goal Length of Stay
       
    Goal Length Of Stay: 3-days

    References

    1. BlueCross BlueShield of Tennessee network physicians. January - April 2021.
    2. The American College of Obstetricians and Gynecologists (ACOG). Hereditary Cancer Syndromes and Risk Assessment; Committee Opinion, Number 793, December 2019. Retrieved November 2, 2020 from: https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/12/hereditary-cancer-syndromes-and-risk-assessment.

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