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CMSNational Coverage Determination (NCD)

CMS Challenge Ingestion Food Testing Form


Indications

(790347) Is the challenge ingestion food testing being used to diagnose food allergies? 
(790348) Is the procedure being performed on an outpatient basis? 

Contraindications

(790349) Is the challenge ingestion food testing being used for the diagnosis of rheumatoid arthritis? 
(790350) Is the challenge ingestion food testing being used for the diagnosis of depression? 
(790351) Is the challenge ingestion food testing being used for the diagnosis of respiratory disorders? 
Effective Date

08/01/1978

Last Reviewed

NA

Original Document

  Reference



Background for this Policy

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

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. 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.