Prior Auth Required

43255 - Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceEsophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method
Procedure / Service Description

roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage - Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by 43251 snare technique 43255 Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined

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.