Prior Auth Required

77331 - Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceSpecial dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician
Procedure / Service Description

brachytherapy, over 12 channels), includes basic dosimetry calculation(s) - 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) Code NAME/DESCRIPTION COMMENTS

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.