Premera Blue Cross of Washington prior authorization 43210
Premera Blue Cross of Washington prior authorization for 43210: Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed These criteria do not imply or guarantee approval.
- Code
- 43210
- Description
- Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 336 Original policy