Anthem Blue Cross Blue Shield of California prior authorization 77770
Anthem Blue Cross Blue Shield of California prior authorization for 77770: Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel [when specified as coronary intravascular brachytherapy]
- Code
- 77770
- Description
- Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel [when specified as coronary intravascular brachytherapy]
- Source
- California PPO Prior Authorization List, Pg 121 Original policy
Anthem Blue Cross Blue Shield of California prior authorization