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.