77373 prior authorization | Anthem Blue Cross and Blue Shield Virginia

77373, Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, en, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 77373
Description: Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, en
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 29 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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