Prior Auth Required

77321 - Special teletherapy port plan, particles, hemibody, total body

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceSpecial teletherapy port plan, particles, hemibody, total body
Procedure / Service Description

brachytherapy, over 12 channels), includes basic dosimetry calculation(s) - 77318 Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s) 77321 Special teletherapy port plan, particles, hemibody, total body 77331 Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician 77332 Treatment devices, design and construction; simple (simple block, simple bolus)

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.