K0816 prior authorization | Anthem Blue Cross and Blue Shield Virginia
K0816, POWER WHEELCHAIR, GROUP 1 STANDARD, CAPTAINS CHAIR, PATIENT WEIGHT CAPACTIY UP TO AND INCLUDING 300 POUNDS, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- K0816
- Description
- POWER WHEELCHAIR, GROUP 1 STANDARD, CAPTAINS CHAIR, PATIENT WEIGHT CAPACTIY UP TO AND INCLUDING 300 POUNDS
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 73 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization