Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy

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چکیده

The following Protocol contains medical necessity criteria that apply for this service. It is applicable to Medicare Advantage products unless separate Medicare Advantage criteria are indicated. If the criteria are not met, reimbursement will be denied and the patient cannot be billed. Preauthorization is not required except for the treatment of cancers of the prostate, breast, lung, colon and rectum which require supporting documentation be submitted to the radiation oncology services vendor.* Please note that payment for covered services is subject to eligibility and the limitations noted in the patient’s contract at the time the services are rendered.

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تاریخ انتشار 2012