77439 prior authorization | Anthem Blue Cross Blue Shield of Georgia

77439, Surface radiation therapy; superficial or orthovoltage, image guidance, ultrasound for placement of radiation therapy fields for treatment of cutaneous tumors, per course of treatment (List separately in addition to code for primary procedure), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 77439
Description: Surface radiation therapy; superficial or orthovoltage, image guidance, ultrasound for placement of radiation therapy fields for treatment of cutaneous tumors, per course of treatment (List separately in addition to code for primary procedure)
Source: Standard Local Prior Authorization Code List, Pg 37 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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