E0492 prior authorization | Anthem Blue Cross and Blue Shield Virginia

E0492, Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: E0492
Description: Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 64 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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