Prior Auth Required

43881 - Implantation or replacement of gastric Prior Authorization Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceImplantation or replacement of gastric Prior Authorization Required Medical Necessity Submit history and physical
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - adjustable gastric restrictive device procedure, operative report if procedure (separate procedure) performed. 43881 Implantation or replacement of gastric Prior Authorization Required Medical Necessity Submit history and physical, neurostimulator electrodes, antrum, open documentation of medical necessity and procedure report.

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.