Prior Auth Required

43249 - esophagus (less than 30 mm diameter)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceesophagus (less than 30 mm diameter)
Procedure / Service Description

intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; - 43248 passage of dilator(s) through esophagus over guide wire Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of 43249 esophagus (less than 30 mm diameter) Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other 43250 lesion(s) by hot biopsy forceps or bipolar cautery

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.