IBS Testing Fees
Because this is a new testing procedure for IBS, it is a covered service by some but not all health care insurance plans. Fee for the testing includes all 3 visits to the office, all materials and 118 test agents, summary of the results, information on how to find food products that are free of any of the tested foods to which you have an allergic reaction, and a report to your doctor(s) upon your request.
Patch testing fees in our center are $7 per test agent, and we use a series of 118 foods and food additives for testing. Contact us to determine if we participate with your insurance. We can also check for you whether the testing is a covered service if we do participate with your insurance.
If we accept your insurance, we will submit a claim to your insurance company if the service is covered. HMO members must have an HMO referral for claims submission. Our submission of your claim is not a guarantee that your insurance will pay for the testing. Your insurance company will process the claim and make the final determination. If food patch testing for your gastrointestinal condition is a covered benefit for you, the testing center will accept the contracted rate for the service. If your insurance company indicates patch testing for is not a covered benefit, you will be responsible for the total fee. A copy of your credit card (Visa, MasterCard, American Express) is required at your first visit, and your credit card will be billed for any copay, deductible, or total fee for which you are responsible.
If the testing center does not accept your insurance, payment in full is requested at your first visit. In this case, you may submit the claim to your insurance company for potential reimbursement directly to you. The diagnosis code typically used for billing is K58.9 (irritable bowel syndrome), and the procedure code is 95044 (patch testing), 106 units. We also offer the patch testing on a fee-for-service basis for those without health insurance.
We offer no guarantees that the testing will help relieve your IBS symptoms. In our most recent clinical study, we helped more than 2 out of every 3 people who were tested (see https://jofskin.org/index.php/skin/article/view/223).
For general questions, contact us at info@IBSfoodallergy.com.