0253T prior authorization | Blue Cross Blue Shield Oklahoma

0253T, Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the suprachoroidal space, is on the Blue Cross Blue Shield Oklahoma commercial prior authorization list. Not a coverage or referral decision.

Code: 0253T
Description: Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the suprachoroidal space
Source: 2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 243 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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