43889 prior authorization | Anthem Blue Cross Blue Shield of California

43889, Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 43889
Description: Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed
Source: California PPO Prior Authorization List, Pg 103 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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