K0849 prior authorization | Anthem Blue Cross and Blue Shield Virginia
K0849, POWER WHEELCHAIR, GROUP 3 STANDARD, CAPTAINS CHAIR, PATIENT WEIGHT CAPACITY 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
- K0849
- Description
- POWER WHEELCHAIR, GROUP 3 STANDARD, CAPTAINS CHAIR, PATIENT WEIGHT CAPACITY 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