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DNA-Based Testing for Adolescent Idiopathic Scoliosis
Blue Cross & Blue Shield of Mississippi·MS · Orthopedics, Pediatrics·Medical Policy
We identified it
Jun 20, 2026
Summary
This policy confirms that DNA-based testing for adolescent idiopathic scoliosis (including the ScoliScore AIS test) remains investigational and non-covered. The policy was reviewed with no changes to coverage determination - these tests are still considered experimental and will be denied.
Action Required
No immediate action required. Continue to deny claims for DNA-based scoliosis testing codes 81479 and 0004M as investigational. If providers request these tests, inform them they are not covered and considered experimental. Document denial reason as 'investigational per policy L.2.04.452'.