K0871 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

K0871, Power wheelchair, group 4 very heavy- duty, 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: K0871
Description: Power wheelchair, group 4 very heavy- duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds
Source: New Hampshire Precertification List, Pg 251 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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