Prior Auth Required

43888 - Gastric restrictive procedure, open; Prior Authorization Required Obesity Submit office evaluation including height

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceGastric restrictive procedure, open; Prior Authorization Required Obesity Submit office evaluation including height
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - only procedure, operative report if procedure performed. 43888 Gastric restrictive procedure, open; Prior Authorization Required Obesity Submit office evaluation including height removal and replacement of subcutaneous and weight, treatment plan, proposed port component only 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.