Anthem Blue Cross and Blue Shield New Hampshire prior authorization K0877
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for K0877: Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
- Code
- K0877
- Description
- Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
- Source
- New Hampshire Precertification List, Pg 251 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization