PA Resources Portlet

Resources

CODING & DOCUMENTATION

EDUCATION & EVENTS

ENROLLMENT & CREDENTIALING

FORMS & MANUALS

PHARMACY

POLICIES & GUIDELINES

PRE-SERVICE REVIEW

PROGRAMS & INITIATIVES

PROVIDER eSOLUTIONS

PROVIDER NETWORKS & SPECIALTIES

PA Dynamic Rendering

Back

Durable Medical Equipment (DME)

Power wheelchairs may require precertification for your Blue Cross patients, including those with Blue Advantage plans. The following HCPCS codes typically require precertification: K0010, K0011, K0012, K0014, and E1230.

To see if precertification is needed for a patient, check eligibility and benefits through ProviderAccess or your practice management software. If precertification is required, you can begin the process through Eligibility and Benefits or by going directly to Pre-Service Review and entering the specific procedure code for the equipment you plan to provide for the patient. 

For other durable medical equipment (DME), complete the DME Certification form to request precertification.

Medical Policies

DME Medical Policies

Blue Advantage DME Medical Policies