43242 prior authorization | Premera Blue Cross of Washington
43242, Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound- guided intramural or transmural fine needle aspiration/biopsy(s) These criteria do not imply or guarantee approval., is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 43242
- Description
- Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound- guided intramural or transmural fine needle aspiration/biopsy(s) These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 337 Original policy