Prior Auth Required

81230 - CYP3A4 (cytochrome P450 family 3 Prior Authorization Required Genetic Testing Submit online review with Carelon at

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceCYP3A4 (cytochrome P450 family 3 Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

genomic regions for copy number and Authorization: History and Physical, - single nucleotide polymorphism (SNP) results of previous diagnostics procedure variants for chromosomal abnormalities report. 81230 CYP3A4 (cytochrome P450 family 3 Prior Authorization Required Genetic Testing Submit online review with Carelon at subfamily A member 4) (eg, drug www.providerportal.com. For Prior metabolism), gene analysis, common Authorization: History and Physical,

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.