K0857 prior authorization | Anthem Blue Cross Blue Shield of California

K0857, Power wheelchair, group 3 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: K0857
Description: Power wheelchair, group 3 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds
Source: California PPO Prior Authorization List, Pg 27 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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