Prior Auth Required

77316 - Radiation Brachytherapy isodose plan; simple (calculation[s] made from 1 to

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRadiation Brachytherapy isodose plan; simple (calculation[s] made from 1 to
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 62 - Radiation 77316 Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel),

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.