Prior Auth Required

77385 - 10-22-2019 ; ; ; (Effective December 1, 2019)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service10-22-2019 ; ; ; (Effective December 1, 2019)
Procedure / Service Description

Revision Log - Revision Log Date Section Added Code(s) Removed Code(s) Notes 10-22-2019 77301; 77338; 77385; (Effective December 1, 2019) Proton Beam Therapy, Brachytherapy and 77386; G6015; G6017 Radiation Therapy Added to No Prior Authorization Required List

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.