L6880 prior authorization | Premera Blue Cross of Washington

L6880, Electric hand, switch or myolelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s), is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: L6880
Description: Electric hand, switch or myolelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)
Source: Clinical Review by Code List PBCWA, Pg 763 Original policy

Premera Blue Cross of Washington prior authorization

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