Prior Auth Required

43257 - Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceEsophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 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 esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease 43285 Removal of esophageal sphincter augmentation device

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.