43846 Insurance Policy Changes

CPT 43846, in plain terms, covers A surgical procedure that creates a small pouch from the stomach and connects it directly to the small intestine, bypassing part of the digestive system. CPT 43846 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 43846 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 43846 on AAPC