43772 prior authorization | Anthem Blue Cross Blue Shield of Georgia

43772, Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only, is on the Anthem Blue Cross Blue Shield of Georgia 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: Standard Local Prior Authorization Code List, Pg 131 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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