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Endobronchial Brachytherapy

Blue Cross & Blue Shield of Mississippi·MS · Pulmonology, Oncology, Radiology·Medical Policy
Effective date
Jan 31, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

This is a policy renumbering change for endobronchial brachytherapy coverage, changing from policy number A.8.03.11 to L.8.03.404. The coverage criteria and billing requirements remain unchanged - still considered medically necessary for primary endobronchial tumors not suitable for surgery/external-beam radiation and for palliative treatment of airway obstruction or severe hemoptysis.

Action Required

Action needed
No immediate action required. This is a policy number change only - update any internal documentation or billing system references from policy A.8.03.11 to L.8.03.404 for endobronchial brachytherapy procedures. Coverage criteria and billing codes remain the same.

Affected Billing Codes

31643
77316
77317
77318
77770
77771
77772
77778
Q3001