All PlansCoverageMedium impact
Luteinizing Hormone (LH) Testing
Blue Cross & Blue Shield of Mississippi·MS · Endocrinology, OB-GYN, Urology +3 more·Medical Policy
We identified it
Jun 20, 2026
Summary
This is a new medical policy (L.2.04.412) establishing coverage criteria for Luteinizing Hormone (LH) testing. The policy covers LH testing for males with hypogonadism/hypergonadism and females with ovarian dysfunction symptoms, but excludes screening in asymptomatic patients and any fertility-related testing.
Action Required
Immediately: Update billing system to ensure CPT 83002 (LH testing) requires supporting diagnosis codes showing symptoms of gonadal dysfunction, pituitary disorders, or puberty abnormalities. Block claims for asymptomatic screening or fertility-related testing as these will be denied per policy exclusions. Train staff to verify medical necessity documentation before billing.