Date Posted: August 29, 2023
Retroactive to Jan. 1, 2023, the following codes have been removed from the EmblemHealth Preauthorization List for commercial members only. The Bariatric Surgery medical policy’s criteria continue to apply.
The following codes are removed from the EmblemHealth Preauthorization List starting Jan. 1, 2023.
Codes Removed From the Preauthorization List Starting Jan. 1, 2023
CPT/HCPCS Code |
CPT Code Description |
|---|---|
43290 |
Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon |
43291 |
Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) |
Note: The codes shown above still require preauthorization for EmblemHealth’s Medicare and Medicaid members.
JP 56610 8/23
