Blue Cross and Blue Shield of Montana prior authorization G0339

Blue Cross and Blue Shield of Montana prior authorization for G0339: Image-Guided Robotic Linear Accelerator- Based Stereotactic Radiosurgery Complete Course Of Therapy In One Session Or First Session Of Fractionated Treatment

Code: G0339
Description: Image-Guided Robotic Linear Accelerator- Based Stereotactic Radiosurgery Complete Course Of Therapy In One Session Or First Session Of Fractionated Treatment
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 263 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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