Prior Auth Required

43772 - device component only

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicedevice component only
Procedure / Service Description

Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter - 43771 device component only Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive 43772 device component only Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable 43773 gastric restrictive device component only

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.