Prior Auth Required

77417 - Therapeutic radiology port image(s)

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceTherapeutic radiology port image(s)
Procedure / Service Description

per week of therapy - 77407 Radiation treatment delivery, => 1 MeV; intermediate 77412 Radiation treatment delivery, => 1 MeV; complex 77417 Therapeutic radiology port image(s) 77423 High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s)

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.