43775 Insurance Policy Changes

CPT 43775, in plain terms, covers A minimally invasive surgery where doctors remove most of the stomach, leaving a small tube-shaped pouch. CPT 43775 is referenced in 3 tracked payer policy changes from Sentara Health Plans, Blue Cross & Blue Shield of Mississippi, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 43775 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 43775 on AAPC