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Radiation Therapy Services
25.1 Enrollment 25-2
25.2 Reimbursement 25-2
25.3 Benefits and Limitations 25-3
25.3.1 Clinical Treatment Planning 25-3
25.3.2 Clinical Brachytherapy 25-4
25.3.3 Clinical Treatment Management 25-4
25.3.4 Proton Beam Therapy 25-4
25.3.5 Stereotactic Radiosurgery 25-5
25.3.6 Radiation Treatment Delivery/Port Films 25-5
25.3.7 Medical Radiation Physics, Dosimetry, Treatment Devices, and Special
Services 25-6
25.3.8 Radioisotope Therapy 25-6
25.3.9 Strontium-89 25-6
25.3.10 Technetium TC 99M Tetrofosmin 25-7
25.3.11 NonCovered Radiation Therapy Services 25-7
25.4 Authorization Requirements 25-7
25.5 Claims Information 25-7
25.5.1 Professional Services 25-8
25.5.2 Outpatient Services 25-8
25.5.3 Inpatient Services 25-8
25.6 TMHP-CSHCN Services Program Contact Center 25-8
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