Here is the problem:
If using insurance you must have a diagnosis. The doctor must make that diagnosis and supply a standard code which is submitted to the insurance carrier. They allow certain treatments based on the code.
Same for lab work, if billed to insurance they must have a diagnosis which would justify the requested tests. For a typical lab workup we would like to have, a lot of various diagnoses would be required and, of course, documentation to back them up.
To bill insurance for low testosterone, the diagnosis is hypogonadism. For that diagnosis, you must have a lab result indicating such and, say with Quest for example, the number must be 249 or lower to back up the diagnosis. That’s right, 251 is normal, not hypogonadism. If your lab result is 300 and your doctor submits to insurance with the diagnosis of hypogonadism, it’s fraud. State medical boards will not like it if complaints are made.
Doctors can prescribe “off label” for the symptoms, but it is not reimbursable by insurance.
Doctors a good at what they do, really good, off the charts smart. However, if your situation is outside their area of expertise…………………….if you have lung cancer, who do you want? Not an oncologist, not a pulmonologist, you want a pulmonary oncologist. The age of specialization.