Prior Auth Required

77373 - including image guidance, entire course not to exceed 5 fractions

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceincluding image guidance, entire course not to exceed 5 fractions
Procedure / Service Description

Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, - 77372 cranial lesion(s) consisting of 1 session; linear accelerator based Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, 77373 including image guidance, entire course not to exceed 5 fractions Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when 77385 performed; simple

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.