Code Description Comments
43647–43648 Laparoscopy, surgical: gastric neurostimulator procedures
43881-43882 Gastric neurostimulator, procedures open
95980–95982 Electronic analysis of implanted neurostimulator pulse generator system
Will only be reimbursed when billed with the following diagnosis codes:
Code Description
'K31.84' Gastroparesis
43257 (Stretta procedure) Upper gastrointestinal endoscopy including esophagus, stomach, and either duodenum and/or jejunum; diagnostic, w/delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of GERD Not reimbursed
74261,74262 CT colonography, diagnostic, including image postprocessing; with and without contrast
Prior authorization is required
43647–43648 Laparoscopy, surgical: gastric neurostimulator procedures
43881-43882 Gastric neurostimulator, procedures open
95980–95982 Electronic analysis of implanted neurostimulator pulse generator system
Will only be reimbursed when billed with the following diagnosis codes:
Code Description
'K31.84' Gastroparesis
43257 (Stretta procedure) Upper gastrointestinal endoscopy including esophagus, stomach, and either duodenum and/or jejunum; diagnostic, w/delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of GERD Not reimbursed
74261,74262 CT colonography, diagnostic, including image postprocessing; with and without contrast
Prior authorization is required