Prior Auth Required

43845 - Bariatric Surgery Gastric restrictive procedure with partial gastrectomy, pylorus

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Procedure / ServiceBariatric Surgery Gastric restrictive procedure with partial gastrectomy, pylorus
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 37 - obesity; other than vertical- banded gastroplasty Bariatric Surgery 43845 Gastric restrictive procedure with partial gastrectomy, pylorus- preserving duodenoileostomy and ileoileostomy (50 to 100 cm

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