Prior Auth Required

81231 - CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism)

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceCYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism)
Procedure / Service Description

*19, *29, *35, *41, *1XN, *2XN, *4XN) - 81230 CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) 81231 CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) 81232 DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine

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.