Anthem Blue Cross and Blue Shield Virginia prior authorization K0857
Anthem Blue Cross and Blue Shield Virginia prior authorization for K0857: POWER WHEELCHAIR, GROUP 3 STANDARD, SINGLE POWER OPTION, CAPTAINS CHAIR, PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300
- Code
- K0857
- Description
- POWER WHEELCHAIR, GROUP 3 STANDARD, SINGLE POWER OPTION, CAPTAINS CHAIR, PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 73 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization