CommercialCoverageMedium impact
Free Testosterone Testing
Blue Cross & Blue Shield of Mississippi·MS · Endocrinology, Family Medicine, Internal Medicine +2 more·Medical Policy
We identified it
Jun 20, 2026
Summary
BCBS Mississippi updated their free testosterone testing policy, clarifying when testing is medically necessary versus not covered. The policy specifies that free testosterone testing is only covered for obese males with low total testosterone and hypogonadism symptoms, females with hyperandrogenism symptoms, and patients with conditions affecting SHBG levels.
Action Required
Immediately: Update billing protocols to verify patient meets medical necessity criteria before ordering free testosterone testing. Ensure documentation includes specific symptoms (malaise, fatigue, lethargy, hot flashes, muscle loss, depression, decreased libido for males; hirsutism, acne, amenorrhea for females) and BMI for male patients. Note that testing for erectile dysfunction alone or screening asymptomatic patients is not covered and claims will be denied.