Prior Auth Required

77772 - includes basic dosimetry, when performed; over 12 channels

This procedure appears on the selected insurer prior authorization source.

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

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 77778 Interstitial Radioelement Application; Complex 77790 Supervision, Handling, Loading, Radiation Source

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.