Prior Auth Required

81231 - CYP3A5 (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.

Prior authorizationPrior Auth Required
Procedure / ServiceCYP3A5 (cytochrome P450 family 3 Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 81231 CYP3A5 (cytochrome P450 family 3 Prior Authorization Required Genetic Testing Submit online review with Carelon at subfamily A member 5) (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.