K0863 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
K0863, Power wheelchair, group 3 very heavy- duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- K0863
- Description
- Power wheelchair, group 3 very heavy- duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds
- Source
- New Hampshire Precertification List, Pg 250 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization