E1012 prior authorization | Anthem Blue Cross Blue Shield of Georgia

E1012, Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: E1012
Description: Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each
Source: Standard Local Prior Authorization Code List, Pg 114 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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