Dynamic List Information
Dynamic List Data
HCPCS Code
K0849
On Master List?
Yes
Prior Authorization Required?
Yes
PA Effective Dates
9/01/2018 Nationwide
F2F and Written Order Prior to Delivery?
Yes
F2F and WOPD Effective Dates
04/17/2023
Description: Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds