pylori breath test is positive, and no endoscopy is planned; OR, Members who have had an upper gastrointestinal endoscopy and in whom no helicobacter testing was performed; OR, Members who have non-specific dyspeptic symptoms with a positive H. pylori serum antibody test, and no ...
Ambulatory Electroencephalography (A-EEG) is considered medically necessary in the following circumstances: To differentiate between seizures and paroxysmal non-epileptic seizures; OR, For members with a clinical history suggestive of seizures and standard EEG testing is non-diagnostic; OR, ...