Prior Auth Required

61790 - Creation, Lesion, Stereotactic, Percutaneous, Neurolytic Agent; Gasserian Ganglion

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCreation, Lesion, Stereotactic, Percutaneous, Neurolytic Agent; Gasserian Ganglion
Procedure / Service Description

magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or - magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or 61737 complex lesion(s) 61790 Creation, Lesion, Stereotactic, Percutaneous, Neurolytic Agent; Gasserian Ganglion 61791 Creation, Lesion, Stereotactic, Percutaneous, Neurolytic Agent; Trigeminal Medullary Tract Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.