Prior Auth Required
1108G - p.R248C [c.742C>T], p.S249C [c.746C>G], p.G370C [c. >T]
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / Servicep.R248C [c.742C>T], p.S249C [c.746C>G], p.G370C [c. >T]
Procedure / Service Description
Mountain Health Co-Op, Services Requiring Prior Authorization 108 - 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-TACC3
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.