Blue Cross Blue Shield Oklahoma prior authorization G0563
Blue Cross Blue Shield Oklahoma prior authorization for G0563: Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions
- Code
- G0563
- Description
- Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions
- Source
- 2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 247 Original policy