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77301 - Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure

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Procedure / ServiceIntensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician 77301 Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications 77306 Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic

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  • Confirm benefit details
  • Submit clinical notes if requested by the plan
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  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.