Anthem Blue Cross Blue Shield of Colorado prior authorization 77768

Anthem Blue Cross Blue Shield of Colorado prior authorization for 77768: Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or mu

Code: 77768
Description: Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or mu
Source: Colorado Prior Authorization List, Pg 93 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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