Prior Auth Required

43887 - Gastric restrictive procedure, open; removal of subcutaneous port component only

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceGastric restrictive procedure, open; removal of subcutaneous port component only
Procedure / Service Description

Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable - 43848 gastric restrictive device (separate procedure) 43886 Gastric restrictive procedure, open; revision of subcutaneous port component only 43887 Gastric restrictive procedure, open; removal of subcutaneous port component only Gastric restrictive procedure, open; removal and replacement of subcutaneous port 43888 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.