K0884 prior authorization | Anthem Blue Cross Blue Shield of California

K0884, Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, 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: K0884
Description: Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Source: California PPO Prior Authorization List, Pg 28 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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