Anthem Blue Cross Connecticut GENE.00057 Gene Expression Profiling for Idiopathic Pulmonary Fibrosis Form

This document addresses the use of gene expression profiling to assist in the diagnosis or management of idiopathic pulmonary fibrosis.

Note: Please see the following related document for additional information:

• TRANS.00009 Lung and Lobar Transplantation

Position Statement

Investigational and Not Medically Necessary:

The use of gene expression profiling to assist in the diagnosis or management of idiopathic pulmonary fibrosis is considered investigational and not medically necessary in all situations.