Premera Blue Cross of Washington prior authorization 77778
Premera Blue Cross of Washington prior authorization for 77778: Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed These criteria do not imply or guarantee approval.
- Code
- 77778
- Description
- Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 428 Original policy