Cpt For Administering Allergy Drops

gap20

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Ronda, NC
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Does anyone know what CPT code to use when a patient comes in for allergy drops? I bill for a family practice and we are always doing allergy injections but this is the first time a patient has gotten allergy drops. I called her Allergist and the office told me that they billed the 95117 (Allergy injection- single). That just doesn't sound right to me considering the allergy drops are given sublingual. :confused:

Thanks,

Sherry
 

youngl

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Sun Lakes, AZ
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allergy drops billing

hi
I work for an allergist and when i saw your post i just had to go ask him what the allergy drops were about. what he told me is that there are no codes for the allergy drop because they are not covered by insurance companies. He said this goes back 18-20 years ago when the insurance companies said that allergy drops are controversial and unproven and therefore not therapeutic, so they don't want to pay for this service. I know that doesn't help you much but at least your not looking for a code thats not there.
Lisa Y
 

S Avara CPC

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Baton Rouge Local Chapter
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I too am searching for a code to bill the allergy drops. I know insurance will not pay them but I don't want to make a fake code. This cannot be included in the office visit. These drops are very expensive - the physicians costs is usuallyl $100.00. I was considering using 95199.
 
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95199 is what you would bill. Insurance companies don't pay becaue they are not FDA approved. We charge 75 for the vial per month. Hope this helps.
 
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