43257 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
43257, Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 43257
- Description
- Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease
- Source
- New Hampshire Precertification List, Pg 117 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization