Prior Auth Required

4165F - Radiation 3-dimensional conformal radiotherapy (3D-CRT) or intensity

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRadiation 3-dimensional conformal radiotherapy (3D-CRT) or intensity
Procedure / Service Description

Potential pulse generator - Potential pulse generator Radiation 4165F 3-dimensional conformal radiotherapy (3D-CRT) or intensity modulated radiation therapy (IMRT) received (PRCA)

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.