Prior Auth Required

1635G - gene analysis (ie, p.C420R, p.E542K, p.E545A, p.E545D [g. >T

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicegene analysis (ie, p.C420R, p.E542K, p.E545A, p.E545D [g. >T
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 108 - bisphosphate 3-kinase, catalytic subunit alpha) (eg, breast cancer) gene analysis (ie, p.C420R, p.E542K, p.E545A, p.E545D [g.1635G>T only], p.E545G, p.E545K, p.Q546E, p.Q546R, p.H1047L, p.H1047R,

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.