Payer PolicyActive
LAB.00034 Serological Antibody Testing For Helicobacter Pylori
ANTHEM-LAB.00034
Anthem
Effective: January 30, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses serological antibody testing for Helicobacter pylori (CPT 86677). It is considered investigational and not medically necessary, and therefore not covered for all indications and clinical uses (e.g., diagnosis or monitoring), with no exceptions noted.
Coverage Criteria Preview
Key requirements from the full policy
"The use of serological antibody testing forHelicobacter pyloriis consideredinvestigational and not medically necessaryfor all indications."
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Covered Medical Codes