Prior Auth Required

43257 - reflux disease

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicereflux disease
Procedure / Service Description

intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; - Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal 43257 reflux disease Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent 43266 (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.