77316 prior authorization | Anthem Blue Cross Blue Shield of California
77316, Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 77316
- Description
- Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)
- Source
- California PPO Prior Authorization List, Pg 120 Original policy
Anthem Blue Cross Blue Shield of California prior authorization