Premera Blue Cross of Washington prior authorization K0843

Premera Blue Cross of Washington prior authorization for K0843: Power wheelchair, group 2 heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds These criteria do not imply or guarantee approval.

Code: K0843
Description: Power wheelchair, group 2 heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 747 Original policy

Premera Blue Cross of Washington prior authorization

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