43845 prior authorization | Premera Blue Cross of Washington
43845, Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy 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
- 43845
- Description
- Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 340 Original policy