77387 prior authorization | Anthem Blue Cross Blue Shield of California

77387, Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 77387
Description: Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed
Source: California PPO Prior Authorization List, Pg 120 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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