Prior Auth Required

43210 - Esophagogastroduodenoscopy, flexible, Prior Authorization Required Investigative Submit history and physical

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceEsophagogastroduodenoscopy, flexible, Prior Authorization Required Investigative Submit history and physical
Procedure / Service Description

directed submucosal injection(s), any documentation of medical necessity and - directed submucosal injection(s), any documentation of medical necessity and substance procedure report. 43210 Esophagogastroduodenoscopy, flexible, Prior Authorization Required Investigative Submit history and physical, transoral; with esophagogastric documentation of medical necessity and fundoplasty, partial or complete, includes procedure report.

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.