Anthem Blue Cross Blue Shield of Georgia prior authorization 77772

Anthem Blue Cross Blue Shield of Georgia prior authorization for 77772: Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels

Code: 77772
Description: Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels
Source: Standard Local Prior Authorization Code List, Pg 38 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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