Prior Auth Required

55860 - Exposure of prostate, any approach, for Prior Authorization Required Radiation Oncology No review for non-cancer diagnoses

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceExposure of prostate, any approach, for Prior Authorization Required Radiation Oncology No review for non-cancer diagnoses
Procedure / Service Description

documentation of medical necessity, - operative report if surgical) only for the date of service performed. 55860 Exposure of prostate, any approach, for Prior Authorization Required Radiation Oncology No review for non-cancer diagnoses. insertion of radioactive substance FOR CANCER DIAGNOSES ONLY: Submit online review with Carelon at

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.