Prior Auth Required

43236 - substance

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicesubstance
Procedure / Service Description

intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; - 43235 specimen(s) by brushing or washing, when performed (separate procedure) Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any 43236 substance 43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or

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.