Prior Auth Required

77338 - Multi-leaf collimator (MLC) device(s) 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 / ServiceMulti-leaf collimator (MLC) device(s) for Prior Authorization Required Radiation Oncology No review for non-cancer diagnoses
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 77338 Multi-leaf collimator (MLC) device(s) for Prior Authorization Required Radiation Oncology No review for non-cancer diagnoses. intensity modulated radiation therapy FOR CANCER DIAGNOSES ONLY: (IMRT), design and construction per IMRT 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.