K0011 prior authorization | Premera Blue Cross of Washington

K0011, Standard-weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: K0011
Description: Standard-weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
Source: Clinical Review by Code List PBCWA, Pg 735 Original policy

Premera Blue Cross of Washington prior authorization

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