Prior Auth Required

43842 - Gastric Surgery Requires a medical necessity determination for coverage

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceGastric Surgery Requires a medical necessity determination for coverage
Procedure / Service Description

The following codes are RENTAL codes and do NOT require a prior authorization - Gastric Surgery Requires a medical necessity determination for coverage. 43644; 43645; 43647; 43770; 43771; 43773; 43775; 43842; 43843; 43846; 43847; 43848; 43886; 43887; 43888

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.