K0814 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
K0814, Power wheelchair, group 1 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- K0814
- Description
- Power wheelchair, group 1 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds
- Source
- New Hampshire Precertification List, Pg 248 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization