Anthem Blue Cross and Blue Shield Virginia prior authorization 77770

Anthem Blue Cross and Blue Shield Virginia prior authorization for 77770: Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel

Code: 77770
Description: Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 30 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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