K0885 prior authorization | Premera Blue Cross of Washington

K0885, Power wheelchair, group 4 standard, multiple power option, captain's chair, 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: K0885
Description: Power wheelchair, group 4 standard, multiple power option, captain's chair, 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 756 Original policy

Premera Blue Cross of Washington prior authorization

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