Anthem Blue Cross Blue Shield of California prior authorization E0486
Anthem Blue Cross Blue Shield of California prior authorization for E0486: Oral device/appliance used to reduce upper airway collapsibility, adjustable or non- adjustable, custom fabricated, includes fitting and adjustment
- Code
- E0486
- Description
- Oral device/appliance used to reduce upper airway collapsibility, adjustable or non- adjustable, custom fabricated, includes fitting and adjustment
- Source
- California PPO Prior Authorization List, Pg 162 Original policy
Anthem Blue Cross Blue Shield of California prior authorization