77372 prior authorization | Premera Blue Cross of Washington

77372, Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of session; linear accelerator based, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 77372
Description: Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of session; linear accelerator based
Source: Clinical Review by Code List PBCWA, Pg 421 Original policy

Premera Blue Cross of Washington prior authorization

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