43284 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
43284, Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 43284
- Description
- Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed
- Source
- New Hampshire Precertification List, Pg 117 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization