Prior Auth Required

43210 - or complete, includes duodenoscopy when performed

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceor complete, includes duodenoscopy when performed
Procedure / Service Description

intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; - 43201 Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial 43210 or complete, includes duodenoscopy when performed Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) 43229 (includes pre- and post-dilation and guide wire passage, when performed)

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.