K1024 prior authorization | Anthem Blue Cross Blue Shield of Colorado

K1024: Nonpneumatic compression controller with sequential calibrated gradient pressure. Imported Anthem Blue Cross Blue Shield of Colorado source reference; confirm plan-specific review requirements in the original document. Not a coverage or referral decision.

Code

K1024

Description

Nonpneumatic compression controller with sequential calibrated gradient pressure

Source

Colorado Prior Authorization List, Pg 164 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization