Prior Auth Required

43633 - Gastrectomy, partial, distal; with Roux-en-Y reconstruction

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceGastrectomy, partial, distal; with Roux-en-Y reconstruction
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 43631 Gastrectomy, partial, distal; with gastroduodenostomy 43632 Gastrectomy, partial, distal; with gastrojejunostomy 43633 Gastrectomy, partial, distal; with Roux-en-Y reconstruction 43634 Gastrectomy, partial, distal; with formation of intestinal pouch 43644 Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy

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.