Blue Cross Blue Shield Oklahoma prior authorization 77439

Blue Cross Blue Shield Oklahoma prior authorization for 77439: Surface radiation therapy; superficial or orthovoltage, image guidance, ultrasound for placement of radiation therapy fields for treatment of cutaneous tumors, per course of treatment (List separately in addition to code for primary procedure)

Code: 77439
Description: Surface radiation therapy; superficial or orthovoltage, image guidance, ultrasound for placement of radiation therapy fields for treatment of cutaneous tumors, per course of treatment (List separately in addition to code for primary procedure)
Source: 2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 69 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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