Lower Esophageal Magnetic Sphincter Augmentation
JJ · Effective Jul 14, 2024
6 active Medicare policies list 43284, and 13 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.
JJ · Effective Jul 14, 2024
JM · Effective Jul 14, 2024
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
National · Effective Jul 14, 2024
J6 · Effective Apr 1, 2026
13 policies from 12 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 43284 |
|---|---|---|
| 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 43284 |
|---|---|---|
| Gastroesophageal Reflux Disease (GERD) | Apr 25, 2023 | Covered |
| Policy | Effective | Status of 43284 |
|---|
| Lower Esophageal Sphincter Augmentation Devices | Jan 6, 2026 | Not covered |
|---|
| Policy | Effective | Status of 43284 |
|---|---|---|
| Lower Esophageal Magnetic Sphincter Augmentation | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43284 |
|---|---|---|
| Lower Esophageal Magnetic Sphincter Augmentation | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43284 |
|---|---|---|
| Lower Esophageal Magnetic Sphincter Augmentation | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43284 |
|---|---|---|
| Lower Esophageal Magnetic Sphincter Augmentation | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43284 |
|---|---|---|
| Treatment of Achalasia, Gastroesophageal Reflux Disease and Hiatal Hernia | Mar 2, 2026 | Covered |
| Policy | Effective | Status of 43284 |
|---|---|---|
| Magnetic Esophageal Ring to Treat Gastroesophageal Reflux Disease (GERD) | May 1, 2026 | Covered |
| Policy | Effective | Status of 43284 |
|---|---|---|
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases – Surest Medical Policy | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 43284 |
|---|---|---|
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 43284 |
|---|---|---|
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases | Aug 1, 2026 | Covered |