77439 prior authorization | Anthem Blue Cross Blue Shield of California

77439, Surface radiation therapy, superficial or orthovoltage, image guidance, ultrasound for placement of radiation therapy fields for treatment of cutaneous tumors, per course of treatment, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 77439
Description: Surface radiation therapy, superficial or orthovoltage, image guidance, ultrasound for placement of radiation therapy fields for treatment of cutaneous tumors, per course of treatment
Source: California PPO Prior Authorization List, Pg 121 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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