E0493 prior authorization | Anthem Blue Cross Blue Shield of Georgia

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 Blue Shield of Georgia 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: Standard Local Prior Authorization Code List, Pg 86 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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