61737 prior authorization | Anthem Blue Cross Blue Shield of California
61737, Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesions, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 61737
- Description
- Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesions
- Source
- California PPO Prior Authorization List, Pg 10 Original policy
Anthem Blue Cross Blue Shield of California prior authorization