77423 prior authorization | Anthem Blue Cross Blue Shield of Georgia

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 Georgia 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: Standard Local Prior Authorization Code List, Pg 135 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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