43644 prior authorization | Anthem Blue Cross Blue Shield of Georgia

43644, Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 43644
Description: Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)
Source: Standard Local Prior Authorization Code List, Pg 100 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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