Blue Shield of CaliforniaAll Plans · Coverage · Medical Policy · CA · Gastroenterology, RadiologyMedium impact
Noninvasive Techniques for the Evaluation and Monitoring of Patients With Chronic Liver Disease (2.04.41)
Effective date
Jan 1, 2026
Identified
Nov 1, 2025
Summary
Blue Shield of California medical policy 2.04.41 covers noninvasive tests for evaluating and monitoring chronic liver disease. The FibroSURE multianalyte assay and transient elastography (FibroScan) may be considered medically necessary for evaluation of individuals with chronic liver disease, and both are considered investigational for monitoring. Other multianalyte assays with algorithmic analyses, and other noninvasive imaging including magnetic resonance elastography, multiparametric MRI, acoustic radiation force impulse imaging, and real-time tissue elastography, are considered investigational for evaluation or monitoring. The policy was updated on 01/01/2026 with a revised policy statement, guidelines and literature review.
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01Already effective 2026-01-01: Include the documentation this policy requests for these tests.
02Before the test, provide the history and physical and/or consultation notes, including the specific name of the test requested, the reason for testing (whether it is for initial evaluation or ongoing monitoring), and previous pertinent laboratory test results.
03After the test, include the results or reports of the tests performed.
04Monitoring with FibroSURE or transient elastography is considered investigational under this policy.
Codes mentioned
7639176981769827698381517815968388391200
Original notice
Noninvasive Techniques for the Evaluation and Monitoring of Patients With Chronic Liver Disease (2.04.41)
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