Prior Auth Required

67218 - Radiation Destruction of localized lesion of retina (eg, macular edema

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceRadiation Destruction of localized lesion of retina (eg, macular edema
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 56 - injection of Susvimo] Radiation 67218 Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source

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.