81230 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81230, CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81230
- Description
- CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22)
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 33 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization