Blue Cross Blue Shield Oklahoma prior authorization G0339

Blue Cross Blue Shield Oklahoma 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 Outpatient Medical Surgical Fully Insured Prior Authorization Codes, Pg 216 Original policy

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