Prior Auth Required
1108G - [C.746C>G], P.G370C [C. >T], 4 cancer; or remittent, recurrent
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / Service[C.746C>G], P.G370C [C. >T], 4 cancer; or remittent, recurrent
Procedure / Service Description
growth factor receptor 3) gene analysis (IE, MEMBERS ONLY: No prior authorization - growth factor receptor 3) gene analysis (IE, MEMBERS ONLY: No prior authorization P.R248C [C.742C>T], P.S249C required for requests related to stage 3 or [C.746C>G], P.G370C [C.1108G>T], 4 cancer; or remittent, recurrent, P.Y373C [C.1118A>G], FGFR3-TACC3V1, relapsed, or metastatic cancers. Post- AND FGFR3-TACC3V3) utilizing formalin- service review may be required through
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.