Prior Auth Required

77295 - Radiation 3-dimensional radiotherapy plan, including dose- volume

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceRadiation 3-dimensional radiotherapy plan, including dose- volume
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 62 - Advanced Imaging 77089 TBS DXA/OTHER IMG CALCULATION W/INTERP AND RPT FX RISK Radiation 77295 3-dimensional radiotherapy plan, including dose- volume histograms

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.