Blue Cross and Blue Shield of Montana prior authorization 43845

Blue Cross and Blue Shield of Montana prior authorization for 43845: Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)

Code: 43845
Description: Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 44 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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