Anthem Blue Cross Blue Shield of Georgia prior authorization E0486

Anthem Blue Cross Blue Shield of Georgia prior authorization for E0486: Oral device/appliance used to reduce upper airway collapsibility, adjustable or nonadjustable, custom fabricated, includes fitting and adjustment

Code: E0486
Description: Oral device/appliance used to reduce upper airway collapsibility, adjustable or nonadjustable, custom fabricated, includes fitting and adjustment
Source: Standard Local Prior Authorization Code List, Pg 86 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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