L2221 prior authorization | Blue Cross Blue Shield Oklahoma

L2221, Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source, is on the Blue Cross Blue Shield Oklahoma commercial prior authorization list. Not a coverage or referral decision.

Code: L2221
Description: Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source
Source: 2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 249 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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