Premera Blue Cross of Washington prior authorization K0840

Premera Blue Cross of Washington prior authorization for K0840: Power wheelchair, group 2 extra heavy- duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more These criteria do not imply or guarantee approval.

Code: K0840
Description: Power wheelchair, group 2 extra heavy- duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 746 Original policy

Premera Blue Cross of Washington prior authorization

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