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Fecal Microbiota Transplantation (FMT)

Fecal microbiota transplantation (FMT) is a procedure whereby donor fecal matter is placed into a patient’s gastrointestinal system in order to recolonize it with normal gut bacteria. The most common use for FMT is treatment of Clostridium difficile infections, particularly those that are recurrent or resistant to standard antibiotic therapy.

Coverage decision: Covered with conditions (Effective date: April 1, 2017)

Authorization requirements

Is authorization required? How do I get authorization?

Yes

L&I (State fund):
Complete the Preauthorization Form and fax to:(360) 902-4567

For self-insured: Contact the employer or its third party administrator.

Regulatory authority and related information

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