Prior Auth Required

63621 - Radiation Stereotactic radiosurgery (particle beam, gamma ray, or linear

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceRadiation Stereotactic radiosurgery (particle beam, gamma ray, or linear
Procedure / Service Description

additional segment (List separately in addition to codes for single - accelerator); 1 spinal lesion Radiation 63621 Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separat

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.