BlueCross BlueShield of Tennessee Medical Policy Manual

Fecal Analysis in the Diagnosis of Intestinal Disorders

DESCRIPTION

Fecal analysis has been proposed for individuals with various gastrointestinal symptoms (e.g., gas, bloating, abdominal pain) as a method to differentiate intestinal microflora and related immunologic responses that may be related to those symptoms. Fecal analysis purportedly evaluates stool for beneficial bacteria as well as imbalanced gut flora and possible pathogens.

Examples of available tests include the Comprehensive Digestive Stool Analysis (CDSA)™ ( Genova Diagnostics), and SmartGut™ (uBiome, San Francisco, CA). SmartGut™ is marketed as the first sequencing-based clinical microbiome screening test capable of detecting microorganisms that can only be detected by DNA sequencing.

POLICY

IMPORTANT REMINDERS

ADDITIONAL INFORMATION  

No studies were identified addressing the diagnostic accuracy of fecal analysis verses other standard diagnostic approaches or that compared health outcomes in individuals managed with and without fecal analysis tests.

SOURCES

BlueCross BlueShield Association. Evidence Positioning System. (1:2019). Fecal analysis in the diagnosis of intestinal dysbiosis (2.04.26). Retrieved February 1, 2019 from https://www.evidencepositioningsystem.com/.(7 articles and/or guidelines reviewed)

Emmanuel, A., Landis, D., Peucker, M., & Hungin, A. (2016). Faecal biomarker patterns in patients with symptoms of irritable bowel syndrome. Frontline Gastroenterology, 7 (4), 275-282. (Level 4 evidence)

Goepp, J., Fowler, E., McBride, T., & Landis, D. (2014). Frequency of abnormal fecal biomarkers in irritable bowel syndrome. Global Advances in Health and Medicine, 3 (3), 9-15. (Level 4 evidence)

ORIGINAL EFFECTIVE DATE:  5/31/2019

MOST RECENT REVIEW DATE:  5/31/2019  

ID_BA

Policies included in the Medical Policy Manual are not intended to certify coverage availability. They are medical determinations about a particular technology, service, drug, etc. While a policy or technology may be medically necessary, it could be excluded in a member's benefit plan. Please check with the appropriate claims department to determine if the service in question is a covered service under a particular benefit plan. Use of the Medical Policy Manual is not intended to replace independent medical judgment for treatment of individuals. The content on this Web site is not intended to be a substitute for professional medical advice in any way. Always seek the advice of your physician or other qualified health care provider if you have questions regarding a medical condition or treatment.

This document has been classified as public information.