Prior Auth Required

57155 - Insertion of uterine tandems and/or vaginal 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 / ServiceInsertion of uterine tandems and/or vaginal Prior Authorization Required Radiation Oncology No review for non-cancer diagnoses
Procedure / Service Description

wall; documentation of medical necessity, - wall; documentation of medical necessity, operative report 57155 Insertion of uterine tandems and/or vaginal Prior Authorization Required Radiation Oncology No review for non-cancer diagnoses. ovoid for clinical brachytherapy 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.