43774 prior authorization | Anthem Blue Cross and Blue Shield Nevada

43774, Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: 43774
Description: Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous
Source: Nevada Prior Authorization List, Pg 46 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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