Prior Auth Required

43270 - lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicelesion(s) (includes pre- and post-dilation and guide wire passage, when performed)
Procedure / Service Description

intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; - 43266 (includes pre- and post-dilation and guide wire passage, when performed) Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other 43270 lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) 43280 Laparoscopy, Surgical, Esophagogastric Fundoplasty Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when

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.