77371 prior authorization | Anthem Blue Cross Blue Shield of California
77371, Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 77371
- Description
- Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based
- Source
- California PPO Prior Authorization List, Pg 120 Original policy
Anthem Blue Cross Blue Shield of California prior authorization