About this policy
CMS National Coverage Determination | ncd_id=21 | manual_section=30.6 | coverage_level_code=3 | national_coverage_type=True | under_review=False | lab_ncd=False
Coverage indications
However, there is no scientifically valid clinical evidence that histamine therapy is effective for any condition regardless of the method of administration, nor is it accepted or widely used by the medical profession. Therefore, histamine therapy cannot be considered reasonable and necessary, and program payment for such therapy is not made.
Documentation requirements
Item/Service Description: The only accepted and scientifically valid medical use of histamine is diagnostic, including tests to assess: The ability of the stomach to secrete acid; The integrity of peripheral sensory nerves (e.g., in leprosy); The circulatory competency in limb extremities; and The presence of a pheochromocytoma. Benefit Categories: 52 - Physicians' Services
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.