Prior Auth Required

43845 - Gastric restrictive procedure with partial 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 with partial Prior Authorization Required Obesity Submit office evaluation including height
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - gastric bypass, for morbid obesity; other and weight, treatment plan and than vertical-banded gastroplasty documentation of procedure. 43845 Gastric restrictive procedure with partial Prior Authorization Required Obesity Submit office evaluation including height gastrectomy, pylorus-preserving and weight, treatment plan and duodenoileostomy and ileoileostomy 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.