Prior Auth Required

43774 - device and subcutaneous port components

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicedevice and subcutaneous port components
Procedure / Service Description

Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter - 43773 gastric restrictive device component only Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive 43774 device and subcutaneous port components Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve 43775 gastrectomy)

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.