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Blue Cross & Blue Shield of MississippiAll Plans · Coverage · Medical Policy · Allergy & ImmunologyMedium impact

Allergy Tests of Uncertain Efficacy

Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

Allergy tests of uncertain efficacy are considered investigational because the scientific evidence does not permit conclusions regarding their effects on health outcomes. The listed investigational tests are ALCAT automated food testing, applied kinesiology, conjunctival challenge testing, cytotoxic food tests, electrodermal testing, hair analysis, IgG/IgG4 allergen specific antibody and food tests, iridology, leukocyte histamine release testing, nasal challenge testing, passive transfer (P-X) testing, provocation-neutralization food or food additive testing, and Rebuck skin window testing. Investigational services are not considered medically necessary, and the payer makes no payment for services that are not documented to be medically necessary.

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What to do

Action · 3 steps
01Billing team: Do not bill the listed allergy tests as medically necessary, because the policy considers them investigational.
02The investigational codes in the code reference are CPT 83516, 83518, 86001, 86343, 86486, 95060, 95065, 95075 and 95199.
03Services that are not documented to be medically necessary are not paid under this policy.

Codes mentioned

835168351886001863438648695060950659507595199

Original notice

Allergy Tests of Uncertain Efficacy
bcbsms.com · Always check the source before changing claims.
View original ↗

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