E0639 prior authorization | Premera Blue Cross of Washington

E0639, Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories These criteria do not imply or guarantee approval., is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: E0639
Description: Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 651 Original policy

Premera Blue Cross of Washington prior authorization

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