About this policy
CMS National Coverage Determination | ncd_id=187 | manual_section=110.12 | coverage_level_code=2 | national_coverage_type=True | under_review=False | lab_ncd=False
Coverage indications
This procedure is covered when it is used on an outpatient basis if it is reasonable and necessary for the individual patient. Challenge ingestion food testing has not been proven to be effective in the diagnosis of rheumatoid arthritis, depression, or respiratory disorders. Accordingly, its use in the diagnosis of these conditions is not reasonable and necessary within the meaning of section 1862(a)(1) of the Act, and no program payment is made for this procedure when it is so used.
Documentation requirements
Item/Service Description: Challenge ingestion food testing is a safe and effective technique in the diagnosis of food allergies. Benefit Categories: 20 - Diagnostic Tests (other)
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.