LCD/NCD Portal

NCD100.12 CHALLENGE INGESTION FOOD TESTING

 

 

Effective Date of this Version

8/1/1978

 

 

Benefit Category

 

• Diagnostic Tests (other).

• Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

 

 

Item/Service Description

 

• Challenge ingestion food testing is a safe and effective technique in the diagnosis of food allergies.

 

 

Indications and Limitations of Coverage

 

• This procedure is covered when it is used on an outpatient basis if it is reasonable and necessary for the individual patient.

• Challenge ingestion food testing has not been proven to be effective in the diagnosis of rheumatoid arthritis, depression, or respiratory disorders.

o Accordingly, its use in the diagnosis of these conditions is NOT reasonable and necessary within the meaning of section 1862(a) (1) of the Act, and no program payment is made for this procedure when it is so used.

 

Medicare NCD LInk