Prior Auth Required

1108G - p.G370C [c. >T], p.Y373C [c. >G], FGFR3-TACC3v1, and FGFR3-TACC3v3) utilizing

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicep.G370C [c. >T], p.Y373C [c. >G], FGFR3-TACC3v1, and FGFR3-TACC3v3) utilizing
Procedure / Service Description

hereditary breast and ovarian cancer) mRNA sequence analysis (List separately in addition to - Oncology (urothelial cancer), RNA, analysis by real-time RT-PCR of the FGFR3 (fibroblast growth factor receptor 3) gene analysis (ie, p.R248C [c.742C>T], p.S249C [c.746C>G], p.G370C [c.1108G>T], p.Y373C [c.1118A>G], FGFR3-TACC3v1, and FGFR3-TACC3v3) utilizing formalin-fixed paraffin-embedded urothelial cancer tumor tissue, reported as FGFR gene 0154U alteration status

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.