0966T prior authorization | Anthem Blue Cross Blue Shield of Georgia
0966T, Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial adjustment; dual arch, with additional mandibular advancement, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 0966T
- Description
- Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial adjustment; dual arch, with additional mandibular advancement
- Source
- Standard Local Prior Authorization Code List, Pg 82 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization