All PlansCoverageMedium impact
Allergy Testing
Blue Cross & Blue Shield of Mississippi·MS · Allergy & Immunology, Family Medicine, Internal Medicine +2 more·Medical Policy
We identified it
Jun 20, 2026
Summary
New comprehensive allergy testing policy establishes medical necessity criteria for various allergy tests including skin tests, IgE tests, and food challenges. The policy sets specific limits (50 percutaneous and 20 intracutaneous skin tests per day) and defines when repeat testing is medically necessary versus investigational.
Action Required
Immediately: Review all allergy testing claims to ensure they meet the new medical necessity criteria including symptom correlation to patient history, failure of conservative therapy, and proven test efficacy. Update prior authorization processes to verify testing limits (50 percutaneous, 20 intracutaneous per day). Flag investigational tests like cytotoxic food tests and nasal challenge tests for denial. Train billing staff on repeat testing guidelines for children vs adults.