E0486 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

E0486, Oral device/appliance used to reduce upper airway collapsibility, adjustable or nonadjustable, custom fabricated, 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: E0486
Description: Oral device/appliance used to reduce upper airway collapsibility, adjustable or nonadjustable, custom fabricated, 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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