77318 prior authorization | Anthem Blue Cross Blue Shield of California

77318, Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), 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: 77318
Description: Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)
Source: California PPO Prior Authorization List, Pg 120 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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