Prior Auth Required

43631 - Gastrectomy, Partial, Distal; W/Gastroduodenostomy

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceGastrectomy, Partial, Distal; W/Gastroduodenostomy
Procedure / Service Description

Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter - 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 43633 Gastrectomy, Partial, Distal; W/Roux-En-Y Reconstruction

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