81225 prior authorization | Blue Cross and Blue Shield of Montana

81225, Cyp2C19 (Cytochrome P450 Family 2 Subfamily C Polypeptide 19) (Eg Drug Metabolism) Gene Analysis Common Variants (Eg *2 *3 *4 *8 *17), is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 81225
Description: Cyp2C19 (Cytochrome P450 Family 2 Subfamily C Polypeptide 19) (Eg Drug Metabolism) Gene Analysis Common Variants (Eg *2 *3 *4 *8 *17)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 109 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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