Prior Auth Required

77771 - includes basic dosimetry, when performed; 2-12 channels

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceincludes basic dosimetry, when performed; 2-12 channels
Procedure / Service Description

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 Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, 77772 includes basic dosimetry, when performed; over 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.