New Clinical Policies

Date: 04/20/17

Please read the summarized descriptions of our new Clinical Policies below:

• Homocysteine Testing
  This policy defines the medically necessary indications for Homocysteine Testing. Claims received without an appropriate ICD-10 diagnosis code will be subject to denial for medical necessity. A list of accepted diagnosis codes may be found in the Homocysteing Testing payment policy on the California Health & Wellness web site.
• Laser Skin Treatment
  This policy defines the medically necessary indications for Laser Skin Treatment. Claims received without an appropriate ICD-10 diagnosis code will be subject to denial for medical necessity. A list of accepted diagnosis codes may be found in the Laser Skin Treatment payment policy on the California Health & Wellness web site.
• Fecal Calprotectin Assay
  This policy defines the medically necessary indications for Fecal Calprotectin Assay. It is the policy of California Health & Wellness that Fecal Calprotectin Assay is investigational for both the diagnosis and screening of inflammatory bowel disease. Claims received for Fecal Calprotectin Assay will be subject to denial.

For the entirety of these Clinical Policies please navigate to our Clinical & Payment Policies page.