It has not been cleared or approved by the food and drug administration. Many routine and diagnostic lab tests are partially or fully covered by insurance, though costs depend on your specific plan and circumstances Find out how insurance coverage for pharmacogenomics is shaping the future of personalized medicine in our comprehensive guide.
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Cyp2d6 genotyping is covered by most private insurers and by medicare in specific instances
Visit the center for medicare & medicaid services’ local coverage determination for cyp2d6 by clicking here (you will be prompted to review and the cms licensing information before being directed to the lcd).
Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service. Cytochrome 450 2d6 genotype detects eight alleles associated with the poor metabolizer phenotype (pm). Enzymes encoded by the p450 genes (e.g., cyp2c9, cyp2c19, cyp2d6, cyp3a4, cyp3a5 etc.) are found primarily in the liver The action of the p450 enzymes affects the blood levels of many drugs.
Since cms considers predictive tests to be screening tests, genetic tests for this purpose are not covered by medicare. This list of covered services is not all inclusive Tricare covers services that are medically necessary and considered proven There are special rules or limits on certain services, and some services are excluded.
In many cases, health insurance plans will cover the costs of genetic testing when it is recommended by a person's doctor
Health insurance providers have different policies about which tests are covered, however.
