Endoscopic Treatment of GERD
J5 · Effective Oct 1, 2015
14 active Medicare policies list 43257, 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.
Free account. Policy pages stay open to everyone.
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J5 · Effective Jun 16, 2026
11 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 43257 |
|---|---|---|
| Gastroesophageal Reflux Disease (GERD) | Apr 25, 2023 | Covered |
| Lung Transplantation | Sep 7, 2023 | Covered |
| Policy | Effective | Status of 43257 |
|---|---|---|
| Cigna Commercial Other Services Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
J6 · Effective Apr 1, 2026
National · Effective Aug 18, 2024
National · Effective Sep 3, 2026
JL · Effective Oct 1, 2025
| Policy | Effective | Status of 43257 |
|---|---|---|
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43257 |
|---|---|---|
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43257 |
|---|---|---|
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43257 |
|---|---|---|
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43257 |
|---|---|---|
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases – Surest Medical Policy | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 43257 |
|---|---|---|
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 43257 |
|---|---|---|
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases | Aug 1, 2026 | Covered |