Prior Auth Required

77763 - Intracavitary Radiation Source Application; Complex

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceIntracavitary Radiation Source Application; Complex
Procedure / Service Description

Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or - 77761 Intracavitary Radiation Source Application; Simple 77762 Intracavitary Radiation Source Application; Intermediate 77763 Intracavitary Radiation Source Application; Complex Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, 77770 includes basic dosimetry, when performed; 1 channel

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.