E1033 prior authorization | Blue Shield of California Promise Health Plan

E1033, Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type, is on the Blue Shield of California Promise Health Plan Medi-Cal prior authorization list. Not a coverage or referral decision.

Code: E1033
Description: Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type
Source: Medi-Cal Prior Authorization List, Pg 23 Original policy

Blue Shield of California Promise Health Plan prior authorization

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