K0886 prior authorization | Blue Cross and Blue Shield of Montana

K0886, Power wheelchair, group 4 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: K0886
Description: Power wheelchair, group 4 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 272 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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