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New policies for laboratory-based vestibular function testing

November 15, 2017

Independence has developed new policies to communicate our coverage position on laboratory-based vestibular function testing for our commercial and Medicare Advantage members. Dizziness, vertigo, and balance impairments can arise from a loss of vestibular function. Several established laboratory-based tests are used to evaluate if the symptoms are due to dysfunction of the semicircular canals. The new policies address medical necessity criteria for laboratory-based vestibular function testing and testing frequency.

For more information, including a complete list of medical necessity criteria for laboratory-based vestibular function testing and billing requirements, please refer to the following policies, which were posted as Notifications on November 15, 2017, and will go into effect February 13, 2018.

  • Commercial: #07.03.24: Laboratory-Based Vestibular Function Testing
  • Medicare Advantage: #MA07.031: Laboratory-Based Vestibular Function Testing
To view the Notifications for these policies, visit our Medical Policy Portal and select Accept and Go to Medical Policy Online. Then select either Commercial or Medicare Advantage under Active Notifications.


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