Prior Auth Required

77317 - Brachytherapy isodose plan; intermediate 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 / ServiceBrachytherapy isodose plan; intermediate Prior Authorization Required Radiation Oncology No review for non-cancer diagnoses
Procedure / Service Description

calculation(s) authorization include history and physical, - results of previous diagnostics procedure report. 77317 Brachytherapy isodose plan; intermediate Prior Authorization Required Radiation Oncology No review for non-cancer diagnoses. (calculation[s] made from 5 to 10 sources, FOR CANCER DIAGNOSES ONLY: or remote afterloading brachytherapy, 2-12 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.