61736 prior authorization | Anthem Blue Cross Blue Shield of Colorado
61736, Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 si, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.
- Code
- 61736
- Description
- Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 si
- Source
- Colorado Prior Authorization List, Pg 68 Original policy
Anthem Blue Cross Blue Shield of Colorado prior authorization