LAB.00048 Analysis of Urine Biomarkers for Chronic Pain Management

This policy addresses urine biomarker analysis for chronic pain management, including tests such as the Functional Pain Index (Pain Index Score). Anthem considers these services investigational/experimental and not medically necessary; they are not covered for any indication. Non-coverage applies regardless of clinical intent (for determining pain etiology, reducing opioid use, or guiding non-opioid therapy), with no exceptions or special circumstances.

"Analysis of urine biomarkers to assess chronic pain is consideredinvestigational and not medically necessaryfor all indications."

Sign up to see full coverage criteria, indications, and limitations.