Prior Auth Required

43284 - LINX – esophageal sphincter augmentation device (Fact 4), All

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceLINX – esophageal sphincter augmentation device (Fact 4), All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Endovascular repair of iliac artery bifurcation 34717, 34718 All TMVI prosthetic valve – percutaneous/transapical 0483T, 0484T All LINX – esophageal sphincter augmentation device 43284 (Fact 4), 43285 All Ablative laser treatment of wounds (obsolete transition) 17999 All Near infrared spectroscopy for lower extremity wounds 93998 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.