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Otolaryngology Coding Alert

Reader Questions:

Use Hours to Report 95180 Multiples

Published on Sat Jan 01, 2005

Question: How should I bill for 95144 at three vials and 95180 at eight injections? Also, how much should our practice charge?

Illinois Subscriber Answer: You should bill 95144 (Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single-dose vial[s] [specify number of vials]) at three units (95144 x 3).
 
You should report this code when your physician prepares the antigen that another physician administers. You should not report this code if your physician prepares and also provides the injections to the patient.
 
You should report 95180 (Rapid desensitization procedure, each hour [e.g., insulin, penicillin, equine serum]) for rapid desensitization for each hour. You should multiply the code by the number of hours the patient requires for desensitization. For example, if the process takes three hours, you should bill 95180 x 3.
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