Prior Auth Required

1635G - [G. >T ONLY], P.E545G, P.E545K, relapsed, or metastatic cancers. Post

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service[G. >T ONLY], P.E545G, P.E545K, relapsed, or metastatic cancers. Post
Procedure / Service Description

4,5BISPHOSPHATE 3-KINASE, catalytic MEMBERS ONLY: No prior authorization - SUBUNIT ALPHA) gene analysis (IE, required for requests related to stage 3 or P.C420R, P.E542K, P.E545A, P.E545D 4 cancer; or remittent, recurrent, [G.1635G>T ONLY], P.E545G, P.E545K, relapsed, or metastatic cancers. Post- P.Q546E, P.Q546R, P.H1047L, P.H1047R, service review may be required through P.H1047Y) utilizing formalin-fixed paraffin- Carelon.

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.