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DESCRIPTIONLuteinizing hormone (LH) is a hormone released in both men and women by the anterior pituitary gland in the brain. Production of LH is controlled by the reproductive system, the pituitary gland, and the hypothalamus. Levels of LH in women fluctuate over time. In women, LH levels naturally increase in the middle of the menstrual cycle, causing ovulation. They also increase during menopause. In men, LH stimulates production of the hormone testosterone. Levels of LH remain fairly constant in men.
LH levels are useful in the investigation of menstrual irregularities and to aid in the diagnosis of pituitary disorders or diseases involving the ovaries or testes. LH may also be ordered when a boy or girl does not appear to be entering puberty at an appropriate age (either too late or too soon). Irregular timing of puberty may be an indication of a more serious problem involving the hypothalamus, the pituitary gland, the gonads (ovaries or testes), or other systems. The measurement of LH may differentiate between benign symptoms and true disease.
An abnormally high level of LH in the blood may indicate:
An abnormally low level of LH in the blood may indicate hypopituitarism or Kallmann syndrome.
POLICYMeasurement of luteinizing hormone is considered medically necessary to distinguish between pituitary, hypothalamus, and gonad disorders in males with hypogonadism or hypergonadism.
Measurement of luteinizing hormone is considered medically necessary to distinguish between pituitary, hypothalamus, and gonad disorders in females with symptoms of ovarian dysfunction.
Measurement of luteinizing hormone is considered not medically necessary when performed for screening purposes in asymptomatic patients (absence of signs, symptoms, or disease).
POLICY GUIDELINESBenefits will not be provided for the following contract exclusions:
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated and as such therefore is not considered medically necessary.
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language.
10/01/2013: New policy added.
08/18/2015: Medical policy revised to add ICD-10 codes.
CODE REFERENCEThis may not be a comprehensive list of procedure codes applicable to this policy.
The code(s) listed below are ONLY medically necessary if the procedure is performed according to the "Policy" section of this document.