Prior Auth Required

57155 - Radiation Insertion of uterine tandem and/or vaginal ovoids for clinical

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRadiation Insertion of uterine tandem and/or vaginal ovoids for clinical
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 43 - Cosmetic Potential 57110 Vaginectomy, complete removal of vaginal wall Radiation 57155 Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy

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.