77387 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

77387, Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 77387
Description: Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed
Source: New Hampshire Precertification List, Pg 151 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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