K0891 prior authorization | Anthem Blue Cross and Blue Shield Virginia

K0891, POWER WHEELCHAIR, GROUP 5 PEDIATRIC, MULTIPLE POWER OPTION, SLING/SOLID SEAT/BACK, PATIENT WEIGHT CAPACITY UP TO AND INC, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: K0891
Description: POWER WHEELCHAIR, GROUP 5 PEDIATRIC, MULTIPLE POWER OPTION, SLING/SOLID SEAT/BACK, PATIENT WEIGHT CAPACITY UP TO AND INC
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 74 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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