63621 prior authorization | Anthem Blue Cross Blue Shield of California

63621, Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 63621
Description: Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion
Source: California PPO Prior Authorization List, Pg 109 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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