43258 prior authorization | Anthem Blue Cross Blue Shield of Colorado
43258, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with ablation of tumor(s), polyp(s), or other lesion(s) n, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.
- Code
- 43258
- Description
- Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with ablation of tumor(s), polyp(s), or other lesion(s) n
- Source
- Colorado Prior Authorization List, Pg 49 Original policy
Anthem Blue Cross Blue Shield of Colorado prior authorization