Nutrient/Nutritional Panel Testing
Summary
The policy considers nutrient and nutritional panel testing investigational for all indications, including testing for nutritional deficiencies in individuals with mood disorders, fibromyalgia, or unexplained fatigue, and in healthy individuals. Under the policy definition, investigative means a treatment, procedure, drug, device, or supply not yet recognized as a generally accepted standard of good medical practice, and it is therefore not considered medically necessary. The policy lists investigational codes for amino acids, folic acid, magnesium, manganese, vitamin A, zinc, and an unlisted chemistry procedure.
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