Prior Auth Required

43245 - stricture(s) (eg, balloon, bougie)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicestricture(s) (eg, balloon, bougie)
Procedure / Service Description

intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; - 43244 varices Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal 43245 stricture(s) (eg, balloon, bougie) Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous 43246 gastrostomy tube

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.