Anthem Blue Cross Blue Shield of Georgia prior authorization 77301
Anthem Blue Cross Blue Shield of Georgia prior authorization for 77301: Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications
- Code
- 77301
- Description
- Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications
- Source
- Standard Local Prior Authorization Code List, Pg 36 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization