77371 prior authorization | Anthem Blue Cross Blue Shield of Georgia
77371, Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi- source Cobalt 60 based, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 77371
- Description
- Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi- source Cobalt 60 based
- Source
- Standard Local Prior Authorization Code List, Pg 36 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization