Summary
Screening for organic acid disorders may be considered medically necessary in symptomatic newborns and infants. Organic acid testing is considered not medically necessary for all other indications, including fatigue, sleep abnormalities, mood changes, blood sugar dysregulation, weight gain, nausea, multiple chemical sensitivity, bloating, distention, joint pain, gas, reflux, autoimmune disorders, dermatitis, depression, anxiety, cancer, inflammation, headaches and early aging.
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What to do
Action · 2 steps
01Billing team: Bill organic acid testing as medically necessary only for screening in symptomatic newborns and infants.
02Billing team: Do not bill organic acid testing as medically necessary for any other indication in the policy, including fatigue, weight gain, joint pain, depression, anxiety, cancer and early aging, because the policy considers it not medically necessary for those indications.
Codes mentioned
8250782570831508349783605837898392184210843788439284585
Original notice
Organic Acid Testing
bcbsms.com · Always check the source before changing claims.