Prior Auth Required
43842 - Bariatric Surgery Gastric restrictive procedure, without gastric bypass, for morbid
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceBariatric Surgery Gastric restrictive procedure, without gastric bypass, for morbid
Procedure / Service Description
Mountain Health Co-Op, Services Requiring Prior Authorization 37 - gastrectomy (ie, sleeve gastrectomy) Bariatric Surgery 43842 Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty
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.