Lower Esophageal Magnetic Sphincter Augmentation
JJ · Effective Jul 14, 2024
3 active Medicare policies list 43285, and 7 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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JJ · Effective Jul 14, 2024
JM · Effective Jul 14, 2024
National · Effective Jul 14, 2024
7 policies from 7 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 43285 |
|---|---|---|
| Gastroesophageal Reflux Disease (GERD) | Apr 25, 2023 | Covered |
| Policy | Effective | Status of 43285 |
|---|---|---|
| Lower Esophageal Sphincter Augmentation Devices | Jan 6, 2026 | Not covered |
| Policy | Effective | Status of 43285 |
|---|---|---|
| Lower Esophageal Magnetic Sphincter Augmentation | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43285 |
|---|---|---|
| Lower Esophageal Magnetic Sphincter Augmentation | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43285 |
|---|---|---|
| Lower Esophageal Magnetic Sphincter Augmentation | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43285 |
|---|---|---|
| Lower Esophageal Magnetic Sphincter Augmentation | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43285 |
|---|---|---|
| Magnetic Esophageal Ring to Treat Gastroesophageal Reflux Disease (GERD) | May 1, 2026 | Covered |