G6015 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

G6015, Intensity modulated treatment delivery, single or multiple fields/arcs, via narrow spatially and temporally modulated beams, binary, dynamic MLC, per treatment session, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: G6015
Description: Intensity modulated treatment delivery, single or multiple fields/arcs, via narrow spatially and temporally modulated beams, binary, dynamic MLC, per treatment session
Source: New Hampshire Precertification List, Pg 232 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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