Dyspepsia - < 55 year old, low-risk patient with no alarm features, the first-line therapy: antisecretory therapy for 4-8 weeks
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Dyspepsia - < 55 year old, low-risk patient with no alarm features, the first-line therapy: antisecretory therapy for 4-8 weeks
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Prior authorization by an insurance company for an EGD requires four weeks of proton pump inhibitor therapy. 2022.
Esophagogastroduodenoscopy (EGD) Section(s): EGD 1.1: Dyspepsia/Upper
Abdominal Symptoms, we cannot approve this request. Your records show that
your doctor wants to check you for disease in your stomach. The request
cannot be approved because:
The requested test or one like it may be supported for one of the
following reasons.
-You are 60 years of age or older.
-A person related to you has had serious disease in the stomach or the
tube in your throat that leads to your stomach.
-You have lost weight (more than five percent) without trying.
-You have blood in your stool or vomit.
-You have trouble swallowing.
-You have a hoarse voice.
-You have vomiting that does not stop.
-Results of a prior study were not normal.
-You did not improve following a trial of at least four weeks of treatment.
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