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
- 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.