81227 cpt code description. Under CPT/HCPCS Codes Group 1: Codes added 0286U.

81227 cpt code description The table below lists CPT codes and lab fee information for pharmacogenomic tests as established by the Centers for Medicare and Medicaid Services. 919 or C50. CPT code 81227 should be used when a genetic analysis procedure is performed to detect common variants in the CYP2C9 gene. The ‘CPT/HCPCS Codes’ and ‘ICD-10-CM Codes that Support Medical Necessity’ sections were revised to add the following new groups effective for dates of service on and after 02/07/2022: ‘Group 15 CPT ® Codes Example Tests (Labs) Criteria Section Common ICD Codes 81306 NUDT15 Targeted Mutation Analysis TPMT and NUDT15 Variant Analysis C91. 1, G35, I21. The new codes went into effect in 2013. pneumoniae 87798 11 S. Physician Attestation of Informed Consent. CYP2C19 testing for the management of H. Created Date: Nov 3, 2018 · • Description of service • AMA developed new CPT codes and first set was published in 2015 81227 CYP2C9 (cytochrome P450, family 2, subfamily C Code 81225, 81226,81227, 81401,81479, 81599 . Official Description of CPT 82947. Status Code. Jul 26, 2020 · Posted 01/27/2022-Under Article Text Table 1 Gene TPMT added 0034U and 0286U to the CPT Code column. CPT Codes. May 30, 2019 · CPT codes 81227 and 81355 have been placed into CPT Code Group 1. References: Medicare National Coverage Determinations (NCD) 90. We offer an in-depth overview of current CPT codes used for billing various pharmacogenetic lab tests. CPT code 81455, or 81456, should be billed when 51 or greater genes are ordered for molecular biomarkers. Medicare is only paying 81225 [ Read More ] My Pain Management group is providing patients with genetic testing, the CPT codes are 81225, 81226, 81227 and 81479. Examples of the cpt codes used are 30115, 31288 CPT codes, descriptions and other data only are copyright 2022 American Medical Association. influenzae, B. What is CPT Code 81225? CPT 81225 is used to My Pain Management group is providing patients with genetic testing, the CPT codes are 81225, 81226, 81227 and 81479. aerogenes, E. 019 K51. e. Not all test(s) meet coverage described in this policy, those test(s) will be considered on a case-by-case basis. 019 The tests and associated laboratories and CPT codes contained within this document serve only as examples to help users navigate claims and corresponding criteria; as such, they are not comprehensive and are not a guarantee of coverage or non-coverage. The ‘Affected Subgroups’ column in Table 2 was revised for the following drugs: celecoxib (CYP2C9/81227) and flurbiprofen (CYP2C9/81227). These services will now be covered when provided according to the LCD consistent with CMS direction. . pylori CPT: 81225 CYP2C9, VKORC1, and/or CYP4F2 Testing for Warfarin Response CPT: 81227, 81355, 81479 CYP2D6 testing for tamoxifen response CPT: 81226 DPYD for 5-FU Toxicity CPT: 81232 DRD2 (Dopamine Receptor) gene variants CPT: 81479 DRD4 dopamine D4 receptor p450 CPT: 81479 These CPT codes are for pharmacogenomic tests that detect specific gene variants known to impact drug therapy. CPT Code 31755 CPT 31755 describes tracheoplasty, tracheopharyngeal fistulization, and each stage. CPT Code Description Non-Covered 0003U . 01 through I22. The ‘CPT/HCPCS Codes’ and ‘ICD-10-CM Codes that Support Medical Necessity’ sections were revised to add the following new groups effective for dates of service on and after 02/07/2022: ‘Group 15 CPT 82247 describes the measurement of total bilirubin in a patient’s blood. This test identifies common variants of the CYP2D6 gene, which can significantly influence how individuals metabolize certain medications. Jan 4, 2025 · The CPT code associated with fundus photography is 92250 as well; however, it may also be billed under different codes depending on the specifics of the procedure performed. It is important to note that this code should not be used in isolation without clinical justification, and it is typically part of a broader genetic G9143, 81227, 81355 Genetic Testing-Genotype-Guided Warfarin Dosing EVA/PCD assay 89240 Chemosensitivity and Chemoresistance Assay, In Vitro eSensor Warfarin Sensitivity Testing G9143, 81227, 81355 Genetic Testing-Genotype-Guided Warfarin Dosing Extreme Drug Resistance Assay 89240 Chemosensitivity and Chemoresistance Assay, In Vitro Oct 3, 2018 · The following CPT codes have been added to the ‘CPT/HCPCS Codes’ section for ‘Group 1 Codes’: 81349 and 81523. pneumoniae, P Nov 13, 2023 · The American Medical Association Current Procedural Terminology (CPT) codes published in ARUP's Laboratory Test Directory are provided for informational purposes only. Group 3 CPT Code Paragraph regarding noncovered CPT codes, and Group 3 CPT/HCPCS Codes have been removed. 04/01/2024 Jul 26, 2020 · Under Article Text Table 1 Gene TPMT added 0034U and 0286U to the CPT Code column. The Current Procedural Terminology (CPT ®) code 81227 as maintained by American Medical Association, is a medical procedural code under the range - Genetic Analysis Procedures. CPT codes 81522 and 81523 were added to the "ICD-10-CM Codes that Support Medical Necessity" section- Group 26 paragraph, effective for services rendered on or after 1/1 Aug 17, 2020 · Under subheading ICD-10 codes associated with intended uses revised table to update intended use, added additional ICD-10 codes, and deleted unspecified codes. CPT Codes Description 81479 Unlisted Molecular Pathology Procedure 81220 Nov 8, 2021 · The following CPT code has been deleted from the ‘CPT/HCPCS Codes’ section for ‘Group 1 Codes’ and therefore has been removed from the article: 0208U. catarrhalis, H. Mar 1, 2023 · 81418; PGxOne (Admera Health) Genomind Professional PGX Express CORE ; 0175U : Cytochrome P450 Genotyping Panel (ARUP Laboratories) 81418 : I20. Apr 10, 2023 · 81227 81291 **AMA CPT codes notice Description of internal test validation method, Citations for Analytical validity, Description of PT method, Major CAP The Current Procedural Terminology (CPT ®) code 37227 as maintained by American Medical Association, is a medical procedural code under the range - Endovascular Revascularization. 7- Examination of patient in clinical trial ; HCPCS modifier Q0 - Investigational clinical service provided in a clinical research study that is in an approved clinical research study ; Note: Report only HCPCS code G9143 and 1 unit of service. Genetic Test CPT/HCPCS Codes 4K Score testing for prostate cancer 0010M, 81539 Afirma Genomic Sequencing Classifier (GSC) No specific code 81210, 81275, 81311, 81401, 81406, 81455 Agendia Breast Cancer Test Suite (MammaPrint and Blueprint) No specific code S3854, 81521, 81599 Ambry Genetic™ PancNext panel No specific code Dec 17, 2024 · This page is a central location for all information regarding ARUP’s biweekly and annual test code updates to the American Medical Association (AMA) Current Procedural Terminology (CPT) codes. CPT code 81445, 81449, 81450, or 81451 should be billed when 5 to 50 genes are ordered. Due to the annual CPT/HCPCS code update, CPT code 81523 was added to the CPT/HCPCS Codes section- Group 1, and CPT code 81349 was added to the CPT/HCPCS Codes section- Group 3. Subscribe to Codify by AAPC and get the code details in a flash. 90 must be reported with ICD-10 code Z92. Please refer to the CMS IOM Publication 100-03, Medicare National Coverage Determinations (NCD) Manual, Chapter 1, Part 2, Section 90. CODE MODIFIER SHORT DESCRIPTION RATE Effective/ End Date 81227 Cyp2c9 Test Name CPT Units Description 80307 1 Screening G0480-3 1 Confirmation 87502 1 Influenza A, Influenza B 87498 1 Enterovirus 87634 1 RSV A/B 87640 1 S. Access to this feature is available in the following products: Find-A-Code Essentials; Find-A-Code Professional; Find-A-Code Premium; Find-A-Code Elite CPT Codes CPT codes are utilized during the billing process. X Statutory Exclusion. It is appropriate to use this code when the analysis includes the detection of variants such as *2, *3, *5, and *6. Please visit the prior authorization for consideration of other test(s) which may not be listed in this table. during a prior authorization), Qitek has provided a list of tests, CPT codes, units, and descriptions below. Oct 1, 2015 · Enter the appropriate identifier adjacent to HCPCS code G9143 in the comment/narrative field of the electronic or paper claim. Physician Attestation of Informed Consent This germline genetic test requires physician attestation that patient consent has been received if ordering medical facility is located in AK, DE, FL, GA, IA, MA, MN, NV, NJ, NY, OR, SD or VT or test Nov 19, 2024 · CPT® Code 81227 in section: C-E codes diagnosis. It is important to note that additional Nov 13, 2023 · CPT codes are provided only as guidance to assist clients with billing. For the following CPT codes either the short description and/or the long description was changed. Physician Attestation of Informed Consent This germline genetic test requires physician attestation that patient consent has been received if ordering medical facility is located in AK, DE, FL, GA, IA, MA, MN, NV, NJ, NY, OR, SD or VT or test Test Mnemonic. WRFSEN. Aug 21, 2023 · The American Medical Association Current Procedural Terminology (CPT) codes published in ARUP's Laboratory Test Directory are provided for informational purposes only. 81227 - QTY (1) 81355 - QTY (1) 81479 - QTY (1) Aliases. 0, I21. Jul 26, 2020 · The CPT code set relevant to this policy is listed in the table below. Sep 25, 2016 · CPT Code and description. CPT codes gene/test CPT intended use for drug CFTR 81220 ivacaftor Oct 24, 2024 · CPT codes: Help. Information on Pharmacogenomic Testing for Warfarin Response can be found 81227. 4. 1 Pharmacogenomic Testing to Predict Warfarin Responsiveness. Under CPT/HCPCS Codes Group 1: Codes added 0034U. cloacae, K. Current Procedural Terminology, more commonly known as CPT®, refers to a medical code set created and maintained by the American Medical Association — and used by physicians, allied health professionals, nonphysician practitioners, hospitals, outpatient facilities, and laboratories to represent the services and procedures they perform. The Current Procedural Terminology (CPT ®) code 44227 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Repair Procedure on the Intestines (Except Rectum). CPT Code 31760 CPT 31760 describes tracheoplasty, intrathoracic. CYP4F2 genotyping; Cytochrome P450 2C9 Genotyping; VKORC1 genotyping This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples. In the event that a clinic is in need of the CPT codes that Qitek utilizes (i. Jan 1, 2013 · ICD-9-CM code: V70. Typo corrected in CPT®/HCPCS Code Group 2: removed CPT 81120 and added 81410. POS 02: Telehealth Provided Other than in a Patient's Home The tests and associated laboratories and CPT codes contained within this document serve only as 81227 E78. The identification of the proper recommended billing code is established as part of the test application process. 07/01/2024 R10 Posted 08/01/2024: Under CPT/HCPCS Codes Group 1: Codes added 0454U, 0460U, 0461U, 0474U, and 0475U. Core CPT Codes for PGx Genotyping Assays The ‘Affected Subgroups’ column in Table 2 was revised for the following drugs: celecoxib (CYP2C9/81227) and flurbiprofen (CYP2C9/81227). Correct coding requires that when a panel code is ordered, it should be billed, rather than the individual gene codes. Below you will find the Code List that is effective January 1, 2023 and a description of the revisions effective for Calendar Year 2023. This revision is due to the 2024 Q3 CPT/HCPCS Code Update and is effective 7/1/2024. Physician Attestation of Informed Consent This germline genetic test requires physician attestation that patient consent has been received if ordering medical facility is located in AK, DE, FL, GA, IA, MA, MN, NV, NJ, NY, OR, SD or VT or test This test is often ordered alongside other genetic tests, such as CPT 81227, which analyzes the CYP2C9 gene, to provide a comprehensive understanding of a patient’s drug metabolism profile. What is CPT Code 82247? CPT 82247 can be used to measure the amount of total bilirubin in a patient’s Nov 8, 2021 · The following CPT code has been deleted from the ‘CPT/HCPCS Codes’ section for ‘Group 1 Codes’ and therefore has been removed from the article: 0208U. *Report ICD-10 code C50. 1 - Pharmacogenomic Testing for warfarin CPT® Code Description Y= Also Requires PA: Laboratory 81211 BRCA1&BRCA2 FULL SEQ ANALYS/COMM DUP/DEL BRCA Y Laboratory 81212 BRCA1&BRCA2 ANAL 185DELAG5385INSC/6174DELT Y Laboratory: 81213 BRCA1&BRCA2 ANAL UNCOMMON DUP/DEL VARIANTS Y Laboratory 81214 BRCA1 FULL SEQ ANAL&COMMON DUP/DEL VARIANTS Y Laboratory: 81215 BRCA1 GENE ANALYSIS KNOWN The tests and associated laboratories and CPT codes contained within this document serve only as examples to help users navigate claims and corresponding criteria; as such, they are not comprehensive and are not a guarantee of coverage or non-coverage. 81227 . If no CPT code is available for the gene being tested, the NOC code 81479 may be used. epidermidis, A. 00, E78. Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code. 2 of 2 cpt/hcpcs codes 0071u 0072u 0073u 0074u 0075u 0076u 0079u 0087u 0088u 0089u 0090u 0094u 0101u 0102u 0103u 0111u 0113u 0114u 0118u 0120u 0129u 0130u 0131u 0132u Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code. CPT Codes / HCPCS Codes / ICD-10 Codes; Code Code Description; CPT codes not covered for indications listed in the CPB : 81227: CYP2C9 (cytochrome P450 CPT codes 81227 ( CYP2C9) and 81355 (VKORC1) will be covered in accordance with NCD 90. 9, Jan 1, 2025 · CPT Codes: 99202-99205 99211-99215: Place of Service (POS) Use the POS that aligns with the patient's location. Given that approximately 20 to 25 percent of commonly prescribed drugs are affected by this gene, the Oct 30, 2013 · Special instructions for CPT 81225, CPT 81226, CPT 81227, or CPT 81355: Per a national CMS requirement, these codes cannot be used for Warfarin (Coumadin) testing. Biweekly and annual updates are available for download, and the biweekly code updates are also listed in the table below. View the CPT® code's corresponding procedural code and DRG. CPT® Code 81227 in section: C-E 2023 Annual Update to the Code List. CPT codes are provided only as guidance to assist clients with billing. 929 with ICD-10 code Z17. List of codes effective January 1, 2023, published December 1, 2022; Annual Update to the List of CPT/HCPCS Codes Effective January 1, 2023, published December 1, 2022 (PDF) Aug 19, 2024 · CPT® Codes Lookup. ICD-10-CM CPT Code information is available to subscribers and includes the CPT code number, short description CPT 81226 pertains to the genetic analysis of the CYP2D6 gene, which is crucial for understanding drug metabolism in patients. CPT 81225 describes the genetic analysis procedure for detecting common variants in the CYP2C19 gene, which is responsible for drug metabolism. Correct CPT coding is essential for labs to secure payer coverage and reimbursement. It was compiled by the IGNITE Clinical Validity, Utility, and Economics Working Group. Do not report CPT codes 81227 and/or 81355 on the claim. pneumoniae, M. Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A - 1, CA 125 II Dec 26, 2019 · Under CPT/HCPCS Codes Group 1: Codes added CPT® codes 81307, 81308, and 81309. The code description was revised for CPT® code 81350. CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, Code CPT Code Description Requires PA. CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering. CPT Code 81207, Tier 1 Molecular Pathology Procedures, Genetic Analysis Procedures - Codify by AAPC 81226 Medical Necessity ICD-10-CM Codes Asterisk Explanation: *Dual diagnosis requirement: ICD-10 code C34. 1 to identify estrogen receptor status. 21 to identify personal history of antineoplastic chemotherapy. Below is a list summarizing the CPT codes for excision and repair procedures on the trachea and bronchi. 1. aureus 87581 1 M. 81227 **AMA CPT codes notice Description of PT method, Major CAP category, CAP category, CAP test list The tests and associated laboratories and CPT codes contained within this document serve only as examples to help users navigate claims and corresponding criteria; as such, they are not comprehensive and are not a guarantee of coverage or non-coverage. 81227. Dec 29, 2021 · CPT code 81227 represents a complex analysis of the CYP2C9 gene, investigating the presence of common variants, particularly *2, *3, *5, and *6. Jan 1, 2022 · Code Description Service Category: 81120 IDH1 COMMON VARIANTS Genetic Testing 81121 IDH2 COMMON VARIANTS Genetic Testing 81161 DMD DUPLICATION/DELETION ANALYSIS Genetic Testing 81162 BRCA1 BRCA2 GENE ALYS FULL SEQ FULL DUP/DEL ALYS Genetic Testing 81163 BRCA1 BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS Genetic Testing Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code. CPT code 82947 is applied in clinical settings to measure blood glucose levels quantitatively, which is essential for diagnosing and managing various metabolic disorders. Jan 1, 2013 · Lab providers that perform services on eligible beneficiaries and described by CPT codes 81227 and 81355 must submit the following claim items: HCPCS code: G9143- warfarin responsiveness testing ICD-10-CM code Z00. Oct 1, 2018 · CPT Code: 87799 Description: Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism. ARUP strongly recommends that clients confirm CPT codes with their Medicare administrative CPT codes and HCPCS that apply to BCBSMA Medical Policy #088 are found on the policy. Under CPT/HCPCS Codes Group 1: Paragraph added the verbiage, “CPT® code 81479 is used to describe multi-gene panels and single genes not otherwise classified”. Prior authorization through AIM Specialty Health is not required for Medicare Advantage products. Jun 14, 2020 · Under Coding Information, Group 1 Codes CPT descriptions changed from short to long descriptors. CPT codes 81522 and 81523 were added to the "ICD-10-CM Codes that Support Medical Necessity" section- Group 26 paragraph, effective for services rendered on or after 1/1 Oct 1, 2023 · Covered and non-covered codes are within this list. 0-I22. 019 NOTE: The CPT codes listed on the website are in accordance with Current Procedural Terminology, a publication of the American Medical Association. Official Descriptor: Glucose; quantitative, blood (except reagent strip) 5. pneumoniae 87486 1 C. CPT Codes: CPT codes Code Description CPT ® Codes Example Tests (Labs) Criteria Section Common ICD Codes 81306 NUDT15 Targeted Mutation Analysis TPMT and NUDT15 Variant Analysis C91. CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) STATUS CPT CODE DESCRIPTION NEW . The ‘CPT/HCPCS Codes’ and ‘ICD-10-CM Codes that Support Medical Necessity’ sections were revised to add the following new groups effective for dates of service on and after 02/07/2022: ‘Group 15 DESCRIPTION OF PROCEDURE: The patient was explained the risks and benefits, and appropriate consent form signed. Clients who bill for services should make the final decision on which codes to use. Medicare is only paying 81225 [ Read More ] 81227, 81355. 6-Encounter for examination for normal comparison and control in lcincal research program CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. 01- Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code. 00-K51. Only G9143 with the Q0 modifier must be used and the service must be in a “coverage with evidence development (CED)” trial. Review completed 06/08/2021. 0 or Z17. Note: Report only HCPCS code G9143 and 1 unit of service. 0, K50. This list of CPT and HCPCS codes is divided into the following sections: Molecular Pathology/Molecular Diagnostics/Genetic Testing CPT Codes Molecular Pathology/Molecular Diagnostics/Genetic Testing HCPCS Codes . 81350 : UGT1A1 (UDP glucuronosyltransferase 1 family Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code. 00-K50. baumannii, E. CPT codes are provided here for the convenience of our clients. Under CPT/HCPCS Codes Group 1: Codes added 0286U. 319 0034U Thiopurine Methyltransferase (TPMT) and Nudix Hydrolase (NUDT15) Genotyping, Mayo Medical Laboratories TPMT and NUDT15 Variant Analysis C91. Page 4 of 6 CPT® codes, descriptions and materials are copyrighted by the American Medical Association (AMA). This revision is due to the Annual CPT®/HCPCS Code Update and becomes effective on 01/01/2020. This revision is retroactive effective for dates of service on or after 01/01/2022. These codes represent an item or service that is not in the statutory definition of “physician services” for fee schedule payment purposes. The ‘CPT/HCPCS Codes’ and ‘ICD-10-CM Codes that Support Medical Necessity’ sections were revised to add the following new groups effective for dates of service on and after 02/07/2022: ‘Group 15 CPT® Code 81227 Details Upcoming and Historical Information Change Type Change Date Previous Descriptor Code Added 01-01-2012 --Codify . CPT codes 81355 (VKORC1) and 81227 (CYP2C9) are not considered reasonable and necessary for warfarin testing. The codes reflect our interpretation of CPT coding requirements based upon AMA guidelines published annually. This revision is retroactive effective for dates of service on or after 1/1/2022. Understanding the purpose behind this test necessitates delving into the intricacies of drug metabolism. Molecular genetic/genomic testing that does not meet coverage criteria listed in these clinical guidelines may For specific genetic testing guidelines for the following CPT and HCPCS codes, please see the appropriate National Coverage Determination (NCD) or Local Coverage Determination (LCD) through the CMS website. pertussis, S. CPT code information is copyright by the AMA. Jan 8, 2019 · CPT 81225, 81226, 81227, 81599 - Genotype-Guided Tamoxifen Treatment Code Description CPT 81225 CYP2C19 (cytochrome P450, family 2, subfamily C, CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering. Fundus photography involves taking detailed images of the retina to document any changes over time and monitor the progression of diabetic retinopathy. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples. CPT Code 31750 CPT 31750 describes tracheoplasty of the cervical region. Depending upon the test performed, a CPT code can also have multiple units attached. Nov 14, 2023 · Much of PGx testing occurs as laboratory services sent out to specialized labs for analysis. 9, I26. 99381 – Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; infant (age younger than 1 year) 1 day ago · LCD Title LCD Number Billing and Coding Companion Article CPT / HCPCS Codes Referenced; MolDX: Biomarkers in Cardiovascular Risk Assessment: L36358: A57037 Jan 1, 2022 · Under subheading ICD-10 codes associated with intended uses revised table to update intended use, added additional ICD-10 codes, and deleted unspecified codes. • Molecular Pathology/Genetic Testing Reported with Unlisted Codes • Pharmacogenomics Testing • Tier 2 Molecular Pathology Procedures • Urogenital/Anogenital (UG/AG) Panels The tests and associated laboratories and CPT codes contained within this document serve only as examples to help users navigate claims and corresponding criteria; as such, they are not comprehensive and are not a guarantee of coverage or non-coverage. Table I shows select pharmacogenomic tests that have unique CPT codes available for documentation purposes, as well as a brief description of the test. Do not use BCBSMA Policy #957 to look up codes for Preimplantation Genetic Testing. Clinical Application. 1 and should be reported with HCPCS code G9143 warfarin responsiveness testing and 1 unit of service. What is CPT Code 81227? CPT 81227 can be… Oct 24, 2024 · The ‘Affected Subgroups’ column in Table 2 was revised for the following drugs: celecoxib (CYP2C9/81227) and flurbiprofen (CYP2C9/81227). Sep 1, 2024 · 50 codes added requiring prior authorization: CPT Code Description 81226 CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6), gene analysis, common variants 81227 CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) Due to the annual CPT/HCPCS code update, CPT code 81523 was added to the CPT/HCPCS Codes section- Group 1, and CPT code 81349 was added to the CPT/HCPCS Codes section- Group 3. This revision is due to the 2022 Annual CPT®/HCPCS Code The ‘Affected Subgroups’ column in Table 2 was revised for the following drugs: celecoxib (CYP2C9/81227) and flurbiprofen (CYP2C9/81227). ptjppta ctzfsj kptjx bcso pkfp njakdea pqxiq coszv ego ongaowk