Coverage Policy for Helicobacter Pylori

Date Issued: 10/13/2015

As of July 20, 2015, EmblemHealth no longer covers Helicobacter pylori (H. pylori) antibody testing (CPT 86677) as this serological antibody test does not accurately identify active H. pylori infection, nor does it provide accurate therapeutic guidance.

For information regarding covered H. pylori testing, please refer to the EmblemHealth Medical policy for non-invasive Helicobacter pylori testing.