Prior Auth Required

77423 - Investigational High energy neutron radiation treatment delivery; 1 or more

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceInvestigational High energy neutron radiation treatment delivery; 1 or more
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 64 - Procedure - Oncology 77414 RADIATION TREATMENT DELIVERY Investigational 77423 High energy neutron radiation treatment delivery; 1 or more Potential isocenter(s) with coplanar or non-coplanar geometry with blocking

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.