Medical Coverage Policy Allergy Testing
Defines medical necessity, covered and not-covered allergy testing procedures (in vitro serum IgE tests, in vivo skin testing, and specific named tests such as ALCAT, LHRT, LMRA) for Blue Cross Blue Shield of Rhode Island Medicare Advantage and Commercial products, with CPT code coverage, annual unit limits, documentation expectations, and exclusions.
Policy lists covered CPT codes 86003 and 86008 when filed with covered diagnoses and enumerates not-covered tests including LMRA, IgG ELISA, LHRT, qualitative multi-allergen screen, and ALCAT for diagnosis of food allergy/intolerance.
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