77371 prior authorization | Blue Cross and Blue Shield of Montana

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 Blue Cross and Blue Shield of Montana commercial 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: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 87 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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