Prior Auth Required

43842 - Gastric restrictive procedure, without Prior Authorization Required Obesity Submit office evaluation including height

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceGastric restrictive procedure, without Prior Authorization Required Obesity Submit office evaluation including height
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 43842 Gastric restrictive procedure, without Prior Authorization Required Obesity Submit office evaluation including height gastric bypass, for morbid obesity; vertical- and weight, treatment plan and banded gastroplasty 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.