Prior Auth Required

77762 - Intracavitary radiation source application; intermediate

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceIntracavitary radiation source application; intermediate
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 77750 Infusion or instillation of radioelement solution (includes 3-month follow-up care) 77761 Intracavitary radiation source application; simple 77762 Intracavitary radiation source application; intermediate 77763 Intracavitary radiation source application; complex 77767 Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when

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.