77402 prior authorization | Anthem Blue Cross and Blue Shield Virginia

77402, Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 77402
Description: Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 30 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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