Blue Cross Blue Shield Oklahoma prior authorization B4199
Blue Cross Blue Shield Oklahoma prior authorization for B4199: Parenteral Nutrition Solution; Compounded Amino Acid And Carbohydrates With Electrolytes Trace Elements And Vitamins Including Preparation Any Strength Over 100 Grams Of Protein - Premix
- Code
- B4199
- Description
- Parenteral Nutrition Solution; Compounded Amino Acid And Carbohydrates With Electrolytes Trace Elements And Vitamins Including Preparation Any Strength Over 100 Grams Of Protein - Premix
- Source
- 2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 202 Original policy