Prior Auth Required

77770 - includes basic dosimetry, when performed; 1 channel

This procedure appears on the selected insurer prior authorization source.

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Procedure / Serviceincludes basic dosimetry, when performed; 1 channel
Procedure / Service Description

Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, - 77763 Intracavitary Radiation Source Application; Complex Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, 77770 includes basic dosimetry, when performed; 1 channel Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, 77771 includes basic dosimetry, when performed; 2-12 channels

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.