81231 prior authorization | Blue Cross and Blue Shield of Montana

81231, Cyp3A5 (Cytochrome P450 Family 3 Subfamily A Member 5) (Eg Drug Metabolism) Gene Analysis Common Variants (Eg *2 *3 *4 *5 *6 *7), is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 81231
Description: Cyp3A5 (Cytochrome P450 Family 3 Subfamily A Member 5) (Eg Drug Metabolism) Gene Analysis Common Variants (Eg *2 *3 *4 *5 *6 *7)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 110 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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