77387 prior authorization | Anthem Blue Cross and Blue Shield Virginia

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 Virginia HMO/EPO 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: 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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