K0011, Standard - weight frame motorized/power wheelchair with programmable controlHCPCS/CPT
Prior Auth Required
At least one active policy explicitly requires prior authorization (high confidence)
HUMANA-MOBILITY-ASSISTIVE-DEVICES-WHEELCHAIRS-SC-MEDICAID, Mobility Assistive Devices (Wheelchairs)
ANTHEM-CG-DME-31, Powered Wheeled Mobility Devices
EVICORE-HPLAN-CIGNA_MEDICARE-268F28B96146, Cigna Medicare Advantage Durable Medical Equipment Code List - Effective 01/01/2025
AETNA-CPB-0271, Wheelchairs and Power Operated Vehicles (Scooters)
BCBSIL-DME101.010, Wheelchairs and Accessories
BCBSMT-DME101.010, Wheelchairs and Accessories
BCBSNM-DME101.010, Wheelchairs and Accessories
BCBSOK-DME101.010, Wheelchairs and Accessories
Ask Backwork about documentation requirements, denial risks, or coverage in your state.