Prior Auth Required

43847 - 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 - (150 cm or less) Roux-en-Y procedure, operative report if procedure gastroenterostomy performed. 43847 Gastric restrictive procedure, with gastric Prior Authorization Required Obesity Submit office evaluation including height bypass for morbid obesity; with small and weight, treatment plan, proposed intestine reconstruction to limit absorption 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.