K0864 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

K0864, Power wheelchair, group 3 extra heavy- duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: K0864
Description: Power wheelchair, group 3 extra heavy- duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more
Source: New Hampshire Precertification List, Pg 250 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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