NCDActive
Human Chorionic Gonadotropin
NCD125
Effective: November 25, 2002
Updated: December 31, 2025
Policy Summary
hCG testing is covered for diagnosis and monitoring of germ cell neoplasms at specified anatomic sites and for monitoring pregnant patients with vaginal bleeding, hypertension, or suspected fetal loss. Diagnostic hCG testing is limited to once per month, while monitoring may be performed as needed; qualitative assays are not appropriate for medical management of germ cell neoplasms and are excluded for that use.
Coverage Criteria Preview
Key requirements from the full policy
"hCG testing is covered for diagnosis or monitoring of suspected or known germ cell neoplasms of the ovary, testis, mediastinum, retroperitoneum, and central nervous system."
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