43842 Insurance Policy Changes

CPT 43842, in plain terms, covers A surgeon places a band around part of your stomach and creates a small pouch to help with weight loss. CPT 43842 is referenced in 2 tracked payer policy changes from Sentara Health Plans and Blue Cross & Blue Shield of Mississippi. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 43842 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 43842 on AAPC