|
Radiation Therapy Services
30.1 Enrollment 30-2
30.2 Benefits, Limitations, and Authorization Requirements 30-2
30.2.1 Clinical Brachytherapy 30-3
30.2.2 Clinical Treatment Planning 30-4
30.2.3 Intensity Modulated Radiation Therapy (IMRT) 30-4
30.2.4 Medical Radiation Physics, Dosimetry, Treatment Devices, and
Special Services 30-4
30.2.5 Noncovered Radiation Therapy Services 30-5
30.2.6 Procedure Code Limitations 30-5
30.2.7 Proton-Beam and Neutron-Beam Delivery 30-8
30.2.7.1 Prior Authorization Requirements 30-8
30.2.8 Radiation Treatment Management and Delivery 30-8
30.2.8.1 Radioisotope Therapy 30-9
30.2.9 Stereotactic Radiosurgery 30-9
30.2.10 Strontium-89 30-10
30.2.11 Technetium TC 99M Tetrofosmin 30-10
30.3 Claims Information 30-10
30.4 Reimbursement 30-11
30.5 TMHP-CSHCN Services Program Contact Center 30-11
|
|
