Blue Shield of California Promise Health Plan prior authorization G0562

Blue Shield of California Promise Health Plan prior authorization for G0562: Therapeutic radiology simulation-aided field setting; complex, including acquisition of PET and CT imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., modeling)

Code: G0562
Description: Therapeutic radiology simulation-aided field setting; complex, including acquisition of PET and CT imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., modeling)
Source: Medi-Cal Prior Authorization List, Pg 26 Original policy

Blue Shield of California Promise Health Plan prior authorization

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