Prior Auth Required

77761 - Intracavitary Radiation Source Application; Simple

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceIntracavitary Radiation Source Application; Simple
Procedure / Service Description

Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or - 77523 Proton Treatment Delivery; Intermediate 77525 Proton Treatment Delivery; Complex 77761 Intracavitary Radiation Source Application; Simple 77762 Intracavitary Radiation Source Application; Intermediate 77763 Intracavitary Radiation Source Application; 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.