Allergy injections

smeetze

Guest
Messages
18
Location
Columbia SC
Best answers
0
Help! Pt brings allergy serum to our family practice office. Pt comes in once every two weeks for us to give them their allergy injections from the serum they left with us..... What CPT do we charge?:confused:
 

donsqueen

Guest
Messages
113
Best answers
0
If it was given by a non-physician then just the administration code. If there was also an office visit then that MAY be billable as well.
 

Donag

Guest
Messages
3
Best answers
0
allergy injections

y ou would use cpt code 95115 if single injection administered if 2or more use 95117
 

smeetze

Guest
Messages
18
Location
Columbia SC
Best answers
0
The codes above specifically say professional services for allergen immunotherapy(physician injects). This is my delima. Do I use administrative codes or the 95115/95117?
 

smwermter

Networker
Messages
58
Best answers
0
I agree with Donag. 95115 or 95117 depending on the number of injections are the codes we use at our clinics.
 

smeetze

Guest
Messages
18
Location
Columbia SC
Best answers
0
In our encoder pro it says "physician injects" in the lay description but in the CPT book it says "Professional Services". This is where I am second guessing myself. Thanks for all of your help!
:)
 

Anna Weaver

True Blue
Messages
769
Location
Kokomo, IN
Best answers
0
allergy injections

Here's what CPT assistant has to say:

Allergy injections and diagnostic tests
CPT Assistant, December 2007 Page: 9 Category: Coding Consultation
CPT Coding for Allergy Injections and Allergy Diagnostic Tests

Allergy Injections

Allergy injections are reported using CPT codes 95115 for a single injection and 95117 for two or more injections. These codes describe the administration (injection) of the allergenic extract when the extract provision or preparation of the extract is not included in the code descriptor. They do not include the provision or preparation of the extract. Codes 95115 and 95117 are intended to be reported one time, regardless of the number of injections administered. These services are typically performed by a nurse and do not include physician work. If the physician performs an evaluation and management (E/M) service on the same day as an injection, the physician should document the service and report the appropriate level E/M service code. In cases when there is no physician history or exam performed but the nurse must consult with the physician as to whether the patient should receive the injection and whether dosage adjustments are required (eg, the patient is ill or reports a reaction to the last injection), CPT code 99211 would be appropriate.

Allergy Diagnostic Tests

95004 Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report by a physician, specify number of tests

95024 Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and report by a physician, specify number of tests

95027 Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens, immediate type reaction, including test interpretation and report by a physician, specify number of tests

Effective January 1, 2008, the descriptors for the allergy diagnostic test codes (CPT codes 95004, 95024, and 95027) have been modified to clarify that the service includes "test interpretation and report by a physician." In addition, Centers for Medicare & Medicaid Services (CMS) now recognizes physician work for CPT codes 95004, 95024, and 95027. Furthermore, the Allergy and Clinical Immunology guidelines have been modified to indicate that when reporting any allergy testing on the same day as a significant, separately identifiable E/M service, modifier 25 must be appended to the E/M service code.




CPT Assistant © Copyright 1990–2008 American Medical Association. All Rights Reserved

Maybe this will help?
 

Lana Ness

Guest
Messages
2
Best answers
0
For 95004 I understand that they changed the verbiage in 2008 to include interpretation and report. Does this mean that there needs to be a separate interpretation and report by the physician, not just a sentence within the medical note for that date of service? Thanks
 

bziegman

Contributor
Messages
20
Location
Glendale Geckoders
Best answers
0
Billing

What admin code would you use?


Here's what CPT assistant has to say:

Allergy injections and diagnostic tests
CPT Assistant, December 2007 Page: 9 Category: Coding Consultation
CPT Coding for Allergy Injections and Allergy Diagnostic Tests

Allergy Injections

Allergy injections are reported using CPT codes 95115 for a single injection and 95117 for two or more injections. These codes describe the administration (injection) of the allergenic extract when the extract provision or preparation of the extract is not included in the code descriptor. They do not include the provision or preparation of the extract. Codes 95115 and 95117 are intended to be reported one time, regardless of the number of injections administered. These services are typically performed by a nurse and do not include physician work. If the physician performs an evaluation and management (E/M) service on the same day as an injection, the physician should document the service and report the appropriate level E/M service code. In cases when there is no physician history or exam performed but the nurse must consult with the physician as to whether the patient should receive the injection and whether dosage adjustments are required (eg, the patient is ill or reports a reaction to the last injection), CPT code 99211 would be appropriate.

Allergy Diagnostic Tests

95004 Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report by a physician, specify number of tests

95024 Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and report by a physician, specify number of tests

95027 Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens, immediate type reaction, including test interpretation and report by a physician, specify number of tests

Effective January 1, 2008, the descriptors for the allergy diagnostic test codes (CPT codes 95004, 95024, and 95027) have been modified to clarify that the service includes "test interpretation and report by a physician." In addition, Centers for Medicare & Medicaid Services (CMS) now recognizes physician work for CPT codes 95004, 95024, and 95027. Furthermore, the Allergy and Clinical Immunology guidelines have been modified to indicate that when reporting any allergy testing on the same day as a significant, separately identifiable E/M service, modifier 25 must be appended to the E/M service code.




CPT Assistant © Copyright 1990–2008 American Medical Association. All Rights Reserved

Maybe this will help?
 
Top