15 commercial payer policies list 43881. 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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15 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 43881 |
|---|---|---|
| Bariatric Surgery and Procedures | Jul 15, 2026 | Not covered |
| 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 43881 |
|---|---|---|
| Bariatric Surgery | Not recorded | Covered |
| Gastric Electrical Stimulation |
| Not recorded |
| Covered |
| Policy | Effective | Status of 43881 |
|---|---|---|
| Bariatric Surgery – Surest Medical Policy | May 1, 2026 | Covered |
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases – Surest Medical Policy | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 43881 |
|---|---|---|
| Bariatric Surgery | May 1, 2026 | Covered |
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 43881 |
|---|---|---|
| Bariatric Surgery | May 1, 2026 | Covered |
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 43881 |
|---|---|---|
| Gastric Pacing / Electrical Stimulation and Gastroesophageal Per Oral Endoscopic Myotomy | Sep 25, 2023 | Covered |
| Policy | Effective | Status of 43881 |
|---|---|---|
| Gastric Electrical Stimulation | Jan 6, 2026 | Covered |
| Policy | Effective | Status of 43881 |
|---|---|---|
| Gastric Electrical Stimulation | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 43881 |
|---|---|---|
| Gastroesophageal and Gastrointestinal (GI) Services and Procedures | Not recorded | Covered |