Prior Auth Required

0653T - Esophagogastroduodenoscopy (EGD), transnasal flexible, diagnostic with brushing/wash/biopsy, intraluminal , , All

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceEsophagogastroduodenoscopy (EGD), transnasal flexible, diagnostic with brushing/wash/biopsy, intraluminal , , All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - 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 Electrical impedance spectroscopy (skin lesions), automated melanoma risk score 0658T All

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.