Prior Auth Required

81120 - R132H, R132C)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceR132H, R132C)
Procedure / Service Description

for attenuation correction and anatomical localization imaging; limited area (eg, chest, - 79403 Radiopharmaceutical Therapy, Radiolabeled Monoclonal Antibody By Intravenous Infusion IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, 81120 R132H, R132C) IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, 81121 R140W, R172M)

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.