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Pulmonology Coding Alert

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Watch Antigen Unit Overkill

Published on Mon Aug 19, 2019

Question: For our physician’s allergen immunotherapy services, we reported CPT® code 95165 with 92 dosage units. The insurer paid for 30 units and denied the rest (62 units) since the benefit maximum had been reached. Can you please tell me if 30 is the maximum units allowed per day, per month, or per year? I know Medicare pays for 10 [...]
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