43633 Insurance Policy Changes

CPT 43633, in plain terms, covers Surgical removal of a portion of the stomach, leaving the remaining healthy part in place. CPT 43633 is referenced in 2 tracked payer policy changes from Medical Mutual of Ohio and Sentara Health Plans. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 43633 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 43633 on AAPC