Prior Auth Required

43773 - Bariatric Surgery Laparoscopy, surgical, gastric restrictive procedure; removal and

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceBariatric Surgery Laparoscopy, surgical, gastric restrictive procedure; removal and
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 37 - adjustable gastric restrictive device component only Bariatric Surgery 43773 Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component

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.