Premera Blue Cross of Washington prior authorization K0856

Premera Blue Cross of Washington prior authorization for K0856: Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds These criteria do not imply or guarantee approval.

Code: K0856
Description: Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 750 Original policy

Premera Blue Cross of Washington prior authorization

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