Prior Auth Required

43633 - Gastrectomy, Partial, Distal; W/Roux-En-Y Reconstruction

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceGastrectomy, Partial, Distal; W/Roux-En-Y Reconstruction
Procedure / Service Description

Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter - 43631 Gastrectomy, Partial, Distal; W/Gastroduodenostomy 43632 Gastrectomy, Partial, Distal; W/Gastrojejunostomy 43633 Gastrectomy, Partial, Distal; W/Roux-En-Y Reconstruction Laparoscopy, Surg, Gastric Restrictive Procedure; W Gastric Bypass And Roux-En-Y 43644 Gastroenterostomy (Roux Limb <= 150 Cm)

Likely documents
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  • Submit clinical notes if requested by the plan
Next actions
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