C9785 prior authorization | Anthem Blue Cross Blue Shield of California

C9785, Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: C9785
Description: Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
Source: California PPO Prior Authorization List, Pg 22 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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