77402 prior authorization | Anthem Blue Cross Blue Shield of Colorado

77402, Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 77402
Description: Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed
Source: Colorado Prior Authorization List, Pg 92 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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