77371 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

77371, Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 77371
Description: Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based
Source: New Hampshire Precertification List, Pg 150 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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