K0746 prior authorization | Premera Blue Cross of Washington

K0746, Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches 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: K0746
Description: Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 737 Original policy

Premera Blue Cross of Washington prior authorization

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