43257 prior authorization | Anthem Blue Cross Blue Shield of Georgia
43257, Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 43257
- Description
- Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease
- Source
- Standard Local Prior Authorization Code List, Pg 21 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization