Prior Auth Required

79403 - Radiopharmaceutical Therapy, Radiolabeled Monoclonal Antibody By Intravenous Infusion

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceRadiopharmaceutical Therapy, Radiolabeled Monoclonal Antibody By Intravenous Infusion
Procedure / Service Description

for attenuation correction and anatomical localization imaging; limited area (eg, chest, - 78816 for attenuation correction and anatomical localization imaging; whole body 79101 Radiopharmaceutical Therapy, By Intravenous Administration 79403 Radiopharmaceutical Therapy, Radiolabeled Monoclonal Antibody By Intravenous Infusion IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, 81120 R132H, R132C)

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.