Prior Auth Required

43259 - distal to the anastomosis

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicedistal to the anastomosis
Procedure / Service Description

roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage - 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 43259 distal to the anastomosis Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by 43260 brushing or washing, when performed (separate procedure)

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.