S5497 prior authorization | Blue Cross Blue Shield Oklahoma

S5497, Home Infusion Therapy Catheter Care / Maintenance Not Otherwise Classified; Includes Administrative Services Professional Pharmacy Services Care Coordination And All Necessary Supplies And Equipment (Drugs And Nursing Visits Coded Separately) Per Diem, is on the Blue Cross Blue Shield Oklahoma commercial prior authorization list. Not a coverage or referral decision.

Code: S5497
Description: Home Infusion Therapy Catheter Care / Maintenance Not Otherwise Classified; Includes Administrative Services Professional Pharmacy Services Care Coordination And All Necessary Supplies And Equipment (Drugs And Nursing Visits Coded Separately) Per Diem
Source: 2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 213 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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