K0868 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

K0868, Power wheelchair, group 4 standard, sling/solid seat/back, 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: K0868
Description: Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Source: New Hampshire Precertification List, Pg 250 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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