K0857 prior authorization | Anthem Blue Cross Blue Shield of Georgia

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 Georgia 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: Standard Local Prior Authorization Code List, Pg 117 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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