E0485 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

E0485, Oral device/appliance used to reduce upper airway collapsibility, adjustable or nonadjustable, prefabricated, includes fitting and adjustment, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: E0485
Description: Oral device/appliance used to reduce upper airway collapsibility, adjustable or nonadjustable, prefabricated, includes fitting and adjustment
Source: New Hampshire Precertification List, Pg 224 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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