Anthem Blue Cross and Blue Shield Nevada prior authorization G0251

Anthem Blue Cross and Blue Shield Nevada prior authorization for G0251: Linear accelerator based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, maximum five s

Code: G0251
Description: Linear accelerator based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, maximum five s
Source: Nevada Prior Authorization List, Pg 145 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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