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81226 - CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceCYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - 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 metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)

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.