Prior Auth Required

43845 - Gastric restrictive procedure with partial gastrectomy, pylorus-preserving

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceGastric restrictive procedure with partial gastrectomy, pylorus-preserving
Procedure / Service Description

Code Description - banded gastroplasty 43843 other than vertical-banded gastroplasty 43845 Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)

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.