77437 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

77437, Surface radiation therapy; superficial, delivery, =150 kV, per fraction (eg, electronic brachytherapy), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 77437
Description: Surface radiation therapy; superficial, delivery, =150 kV, per fraction (eg, electronic brachytherapy)
Source: New Hampshire Precertification List, Pg 151 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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