Prior Auth Required

77436 - Surface radiation therapy; superficial or Prior Authorization Required Radiation Oncology Submit online review with Carelon at

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceSurface radiation therapy; superficial or Prior Authorization Required Radiation Oncology Submit online review with Carelon at
Procedure / Service Description

exceed 5 fractions authorization include history and physical, - results of previous diagnostics procedure report. 77436 Surface radiation therapy; superficial or Prior Authorization Required Radiation Oncology Submit online review with Carelon at orthovoltage, treatment planning and www.providerportal.com. For Prior simulation-aided field stetting Authorization: History and Physical,

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.