43645 Insurance Policy Changes

CPT 43645, in plain terms, covers A minimally invasive surgery where surgeons create a small pouch from the stomach and connect it directly to the small intestine, bypassing part of the digestive system. CPT 43645 is referenced in 2 tracked payer policy changes from Sentara Health Plans and Humana. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 43645 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 43645 on AAPC