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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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