K0820 prior authorization | Premera Blue Cross of Washington
K0820, Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds 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
- K0820
- Description
- Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 741 Original policy