Testosterone Testing

Hypogonadism is a clinical syndrome resulting from a failure of the testis to produce physiological levels of testosterone and/or a normal number of spermatozoa. Testosterone testing is used to measure serum testosterone levels.

Coverage decision: covered with conditions (Effective Date: December 1, 2015).

Authorization requirements


Is authorization required?

How do I get pre-authorization?

Yes

L&I (State fund): Complete the Preauthorization Form and
fax to:(360) 902-4567

For self-insured: Contact the employer or its third party administrator.

Regulatory authority and related information

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