77423 prior authorization | Anthem Blue Cross Blue Shield of Colorado

77423, High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s), is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 77423
Description: High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s)
Source: Colorado Prior Authorization List, Pg 92 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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