Blue Cross Newsletter


January 18, 2010        





To: All Blue Cross Contracting Providers

Cindy Garrison, Education/Communication Coordinator
Institutional Relations
Blue Cross and Blue Shield of Kansas, Inc.
An Independent Licensee of the Blue Cross and Blue Shield Association


Federal Employee Program (FEP):
Intensity Modulated Radiation Therapy (IMRT)


Beginning January 1, 2010, prior approval is required when an FEP member has intensity modulated radiation therapy (IMRT).  Call 800-782-4437 to obtain prior approval.

The codes requiring prior approval are:

  • 77301 – intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications
  • 77338 – multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan
  • 77418 – intensity modulated treatment delivery, single or multiple fields/arcs, via narrow spatially and temporally modulated beams, binary, dynamic MLC, per treatment session.
  • 0073T – compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator convergent beam modulated fields, per treatment session.

Complete FEP benefit information is available on the Web at or call BCBSKS FEP customer service at 800-432-0379 or 785-291-4181.