Prior Auth Required

0651T - Magnetically controlled capsule endoscopy (MCCE), esophagus with interpretation/report All

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceMagnetically controlled capsule endoscopy (MCCE), esophagus with interpretation/report All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Quantitative magnetic resonance for tissue composition (fat, iron, water, etc.), multiparametric data acquisition, 0648T, 0649T All no diagnostic MRI; separate add-on Magnetically controlled capsule endoscopy (MCCE), esophagus with interpretation/report 0651T All Esophagogastroduodenoscopy (EGD), transnasal flexible, diagnostic with brushing/wash/biopsy, intraluminal 0652T, 0653T, 0654T All tube or catheter

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.