Prior Auth Required

43252 - (EGD)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service(EGD)
Procedure / Service Description

Category Subcategory/notes Codes and comments - 64483, 64484, 64999 Esophagogastroduodenoscopy 43235, 43237, 43238, (EGD) 43239, 43242, 43252, 43253, 43259 The following services will now be

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.