Prior Auth Required

43254 - Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceEsophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection
Procedure / Service Description

intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; - Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other 43251 lesion(s) by snare technique 43254 Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection 43255 Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the

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.