77423 prior authorization | Anthem Blue Cross and Blue Shield Virginia

77423, High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 77423
Description: High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s)
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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