G6017 prior authorization | Anthem Blue Cross Blue Shield of California
G6017, Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (e.g., 3D positional tracking, gating, 3D surface tracking), each fraction of treatment, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- G6017
- Description
- Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (e.g., 3D positional tracking, gating, 3D surface tracking), each fraction of treatment
- Source
- California PPO Prior Authorization List, Pg 163 Original policy
Anthem Blue Cross Blue Shield of California prior authorization