E0493 prior authorization | Blue Cross Blue Shield Oklahoma

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 Blue Cross Blue Shield Oklahoma commercial 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: 2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 245 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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