Prior Auth Required

43258 - PR UPPER GI NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 12/1/2022

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePR UPPER GI NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 12/1/2022
Procedure / Service Description

DIA GERD (11, 22, 24). - 43258 PR UPPER GI NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 12/1/2022 ENDOSCOPY,T AND DOCUMENTS TO UMOR ABLATN PLACE OF SERVICE: PRIOR AUTH SUPPORT MEDICAL

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.