Prior Auth Required

77372 - Radiation treatment delivery, stereotactic 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 / ServiceRadiation treatment delivery, stereotactic Prior Authorization Required Radiation Oncology No review for non-cancer diagnoses
Procedure / Service Description

more lesions, including image guidance, authorization include history and physical, - entire course not to exceed 5 fractions results of previous diagnostics procedure report. 77372 Radiation treatment delivery, stereotactic Prior Authorization Required Radiation Oncology No review for non-cancer diagnoses. radiosurgery (SRS), complete course of FOR CANCER DIAGNOSES ONLY: treatment of cranial lesion(s) consisting of 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.