Prior Auth Required

43770 - Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric

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Procedure / ServiceLaparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric
Procedure / Service Description

Code Description - en-Y gastroenterostomy (roux limb 150 cm or less) 43645 with gastric bypass and small intestine reconstruction to limit absorption 43770 Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (e.g., gastric band and subcutaneous port components) 43771 revision of adjustable gastric restrictive device component only

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.