Prior Auth Required

43290 - Esophagogastroduodenoscopy, flexible, Possible Denial; Medical Records Investigative Documentation optional

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceEsophagogastroduodenoscopy, flexible, Possible Denial; Medical Records Investigative Documentation optional
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - operative report if surgical) only for the date of service performed. 43290 Esophagogastroduodenoscopy, flexible, Possible Denial; Medical Records Investigative Documentation optional. transoral; with deployment of intragastric Optional bariatric balloon

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.