Prior Auth Required

43497 - Lower esophageal myotomy, transoral (ie, Possible Denial; Medical Records Investigative Documentation optional

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceLower esophageal myotomy, transoral (ie, Possible Denial; Medical Records Investigative Documentation optional
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - transoral; with removal of intragastric Optional bariatric balloon(s) 43497 Lower esophageal myotomy, transoral (ie, Possible Denial; Medical Records Investigative Documentation optional. peroral endoscopic myotomy [POEM]) Optional

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.