77387 prior authorization | Anthem Blue Cross Blue Shield of Georgia

77387, Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 77387
Description: Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed
Source: Standard Local Prior Authorization Code List, Pg 37 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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