Anthem Blue Cross Blue Shield of California prior authorization 77435
Anthem Blue Cross Blue Shield of California prior authorization for 77435: Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions
- Code
- 77435
- Description
- Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions
- Source
- California PPO Prior Authorization List, Pg 121 Original policy
Anthem Blue Cross Blue Shield of California prior authorization