Anthem Blue Cross and Blue Shield Virginia prior authorization K0864

Anthem Blue Cross and Blue Shield Virginia prior authorization for K0864: POWER WHEELCHAIR, GROUP 3 EXTRA HEAVY DUTY, MULTIPLE POWER OPTION, SLING/SOLID SEAT/BACK, PATIENT WEIGHT CAPACITY 601 PO

Code: K0864
Description: POWER WHEELCHAIR, GROUP 3 EXTRA HEAVY DUTY, MULTIPLE POWER OPTION, SLING/SOLID SEAT/BACK, PATIENT WEIGHT CAPACITY 601 PO
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 74 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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