77439 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

77439, Surface radiation therapy; superficial or orthovoltage, image guidance, ultrasound for placement of radiation therapy fields for treatment of cutaneous tumors, per course of t, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 77439
Description: Surface radiation therapy; superficial or orthovoltage, image guidance, ultrasound for placement of radiation therapy fields for treatment of cutaneous tumors, per course of t
Source: New Hampshire Precertification List, Pg 151 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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