Prior Auth Required

43497 - Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM])

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceLower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM])
Procedure / Service Description

Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter - Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric 43291 balloon(s) 43497 Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM]) 43631 Gastrectomy, Partial, Distal; W/Gastroduodenostomy 43632 Gastrectomy, Partial, Distal; W/Gastrojejunostomy

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.