43644 prior authorization | Anthem Blue Cross Blue Shield of California
43644, Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 43644
- Description
- Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)
- Source
- California PPO Prior Authorization List, Pg 7 Original policy
Anthem Blue Cross Blue Shield of California prior authorization