E0493 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
E0493, Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- E0493
- Description
- Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply
- Source
- New Hampshire Precertification List, Pg 224 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization