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77300 - Radiation Basic radiation dosimetry calculation, central axis depth dose

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceRadiation Basic radiation dosimetry calculation, central axis depth dose
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 62 - software considered not medically necessary] Radiation 77300 Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue

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.