Prior Auth Required

77387 - eFax number: 213-596-3783

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceeFax number: 213-596-3783
Procedure / Service Description

Category Subcategory/notes Codes and comments - Monday – Friday, 77767, 77768, 77770, 8 a.m. – 8 p.m., Eastern time. 77771, 77772, 77778, eFax number: 213-596-3783 77387, G0339, G0340, eFax email: G0458 efax-carepro-oncology

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.