Prior Auth Required

77317 - Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceBrachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading
Procedure / Service Description

brachytherapy, 1 channel), includes basic dosimetry calculation(s) - 77316 Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s) 77317 Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s) 77318 Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading

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.