Prior Auth Required

81225 - Gene Analysis, Common Variants (Eg, *2, *3, *4, *8, *17)

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Procedure / ServiceGene Analysis, Common Variants (Eg, *2, *3, *4, *8, *17)
Procedure / Service Description

for attenuation correction and anatomical localization imaging; limited area (eg, chest, - 81224 Analysis; Intron 8 Poly-T Analysis (Eg, Male Infertility) Cyp2C19 (Cytochrome P450, Family 2, Subfamily C, Polypeptide 19) (Eg, Drug Metabolism), 81225 Gene Analysis, Common Variants (Eg, *2, *3, *4, *8, *17) CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN,

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.