Prior Auth Required

81225 - CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - 81224 CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) 81225 CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) 81226 CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug

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.