Prior Auth Required

77317 - remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)

This procedure appears on the selected insurer prior authorization source.

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Procedure / Serviceremote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)
Procedure / Service Description

Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or - 77316 afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s) Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or 77317 remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s) Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote 77318 afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)

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.