Prior Auth Required

77385 - performed; simple

This procedure appears on the selected insurer prior authorization source.

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Procedure / Serviceperformed; simple
Procedure / Service Description

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 Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when 77386 performed; complex

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.