Premera Blue Cross of Washington prior authorization K0885

Premera Blue Cross of Washington prior authorization for K0885: Power wheelchair, group 4 standard, multiple power option, captain's chair, patient weight capacity up to and including 300 pounds These criteria do not imply or guarantee approval.

Code: K0885
Description: Power wheelchair, group 4 standard, multiple power option, captain's chair, 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 756 Original policy

Premera Blue Cross of Washington prior authorization

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