Prior Auth Required

43846 - Gastric restrictive procedure, with gastric 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 gastric Prior Authorization Required Obesity Submit office evaluation including height
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - gastrectomy, pylorus-preserving and weight, treatment plan and duodenoileostomy and ileoileostomy documentation of procedure. 43846 Gastric restrictive procedure, with gastric Prior Authorization Required Obesity Submit office evaluation including height bypass for morbid obesity; with short limb and weight, treatment plan, proposed (150 cm or less) Roux-en-Y procedure, operative report if 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.