Endoscopic Treatment of GERD
J5 · Effective Oct 1, 2015
8 active Medicare policies list 43999, and 15 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
J5 · Effective Jan 1, 2026
J5 · Effective Jun 16, 2026
National · Effective Jan 1, 2023
J6 · Effective Apr 1, 2026
15 policies from 11 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 43999 |
|---|---|---|
| Bariatric Surgery and Other Treatments for Clinically Severe Obesity | Oct 1, 2026 | Covered |
| Gastric Electrical Stimulation | Jan 6, 2026 | Covered |
| Policy | Effective | Status of 43999 |
|---|---|---|
| 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 43999 |
|---|---|---|
| Bariatric Surgery | May 1, 2026 | Covered |
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 43999 |
|---|---|---|
| Bariatric Surgery | May 1, 2026 | Covered |
| Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 43999 |
|---|---|---|
| Bariatric Surgery | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43999 |
|---|---|---|
| Bariatric Surgery | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43999 |
|---|---|---|
| Bariatric Surgery | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43999 |
|---|---|---|
| Bariatric Surgery | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43999 |
|---|---|---|
| Gastric Electrical Stimulation | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 43999 |
|---|---|---|
| Bariatric Surgery – Surest Medical Policy | May 1, 2026 | Covered |
| Policy | Effective | Status of 43999 |
|---|---|---|
| Gastroesophageal and Gastrointestinal (GI) Services and Procedures | Not recorded | Covered |