Prior Auth Required

43210 - Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceEsophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 42145 Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) 42299 Unlisted procedure, palate, uvula 43210 Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed 43257 Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower

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.