Endoscopic Treatment of GERD
J5 · Effective Oct 1, 2015
9 active Medicare policies list 43210, and 11 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Jun 16, 2026
J6 · Effective Apr 1, 2026
National · Effective Oct 1, 2025
11 policies from 10 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 43210 |
|---|---|---|
| Cigna Commercial Other Services Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 43210 |
|---|---|---|
| Gastroesophageal Reflux Disease (GERD) | Apr 25, 2023 | Covered |
| Policy | Effective | Status of 43210 |
|---|
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
|---|
| Policy | Effective | Status of 43210 |
|---|---|---|
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43210 |
|---|---|---|
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43210 |
|---|---|---|
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43210 |
|---|---|---|
| Treatment of Achalasia, Gastroesophageal Reflux Disease and Hiatal Hernia | Mar 2, 2026 | Covered |
| Policy | Effective | Status of 43210 |
|---|---|---|
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases – Surest Medical Policy | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 43210 |
|---|---|---|
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 43210 |
|---|---|---|
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases | Aug 1, 2026 | Covered |