81230 prior authorization | Anthem Blue Cross Blue Shield of California
81230, CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (e.g., drug metabolism), gene analysis, common variant(s) (e.g., *2, *22), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 81230
- Description
- CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (e.g., drug metabolism), gene analysis, common variant(s) (e.g., *2, *22)
- Source
- California PPO Prior Authorization List, Pg 127 Original policy
Anthem Blue Cross Blue Shield of California prior authorization