43845 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
43845, Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 43845
- Description
- Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)
- Source
- New Hampshire Precertification List, Pg 119 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization