43772 prior authorization | Anthem Blue Cross Blue Shield of Colorado

43772, Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 43772
Description: Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only
Source: Colorado Prior Authorization List, Pg 50 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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