K0863 prior authorization | Anthem Blue Cross Blue Shield of California
K0863, Power wheelchair, group 3 very heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- K0863
- Description
- Power wheelchair, group 3 very heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds
- Source
- California PPO Prior Authorization List, Pg 28 Original policy
Anthem Blue Cross Blue Shield of California prior authorization