E0486 prior authorization | Anthem Blue Cross Blue Shield of California

E0486, Oral device/appliance used to reduce upper airway collapsibility, adjustable or non- adjustable, custom fabricated, includes fitting and adjustment, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: E0486
Description: Oral device/appliance used to reduce upper airway collapsibility, adjustable or non- adjustable, custom fabricated, includes fitting and adjustment
Source: California PPO Prior Authorization List, Pg 162 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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