43774 prior authorization | Anthem Blue Cross Blue Shield of Georgia

43774, Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 43774
Description: Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous
Source: Standard Local Prior Authorization Code List, Pg 131 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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