77435 prior authorization | Blue Cross and Blue Shield of Montana
77435, Stereotactic Body Radiation Therapy Treatment Management Per Treatment Course To 1 Or More Lesions Including Image Guidance Entire Course Not To Exceed 5 Fractions, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.
- Code
- 77435
- Description
- Stereotactic Body Radiation Therapy Treatment Management Per Treatment Course To 1 Or More Lesions Including Image Guidance Entire Course Not To Exceed 5 Fractions
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 88 Original policy