Prior Auth Required

43774 - Laparoscopy, surgical, gastric restrictive Prior Authorization Required Obesity Submit office evaluation including height

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceLaparoscopy, surgical, gastric restrictive Prior Authorization Required Obesity Submit office evaluation including height
Procedure / Service Description

of gastric neurostimulator electrodes, documentation of medical necessity and - procedure; removal and replacement of and weight, treatment plan and adjustable gastric band component only documentation of procedure. 43774 Laparoscopy, surgical, gastric restrictive Prior Authorization Required Obesity Submit office evaluation including height procedure; removal of adjustable gastric and weight, treatment plan and band and subcutaneous port components documentation of procedure.

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.