K0843 prior authorization | Anthem Blue Cross and Blue Shield Virginia
K0843, POWER WHEELCHAIR, GROUP 2 HEAVY DUTY, MULTIPLE POWER OPTION, SLING/SOLID SEAT/BACK, PATIENT WEIGHT CAPACITY 301 TO 450 P, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- K0843
- Description
- POWER WHEELCHAIR, GROUP 2 HEAVY DUTY, MULTIPLE POWER OPTION, SLING/SOLID SEAT/BACK, PATIENT WEIGHT CAPACITY 301 TO 450 P
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 73 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization