Prior Auth Required

43260 - brushing or washing, when performed (separate procedure)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicebrushing or washing, when performed (separate procedure)
Procedure / Service Description

roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage - 43259 distal to the anastomosis Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by 43260 brushing or washing, when performed (separate procedure) Code NAME/DESCRIPTION COMMENTS 43262 Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy

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.