Wiki Question regarding Venom Immunotherapy

[tharris@baybillingsolutions.com]

Hi, I am new at Allergy coding and would appreciate any help I can get. My question is about venom immunotherapy. If a patient is getting serum for honey bee, wasp and three-vespid mix, which is correct?

95145- single bee (7 units)
95145- single bee (7 units)
95147- three bee (7 units)
or
95149 five bee (7units)

The serum is mixed in advance. If it is the 95149 is the 7 units correct? The note indicates 21 doses

Thank you! Tina

 

[Chelle-Lynn]

The stinging insects which are mostly commonly desensitized for allergic reactions are: honeybee, wasp, white faced hornet, yellow hornets and yellow jacket. Mixed vespid includes: white faced hornet, yellow hornet and yellow jacket as a combine antigen.

If you are administering a three-vespid mix, then the correct code would be 95147. The code is based on the number of venoms from different stinging insects.

 

[tharris@baybillingsolutions.com]

Thank you so much for replying. They are giving a total of 5 bees, I believe the coding is 95149. The other office staff thinks it is 95145 (wasp) 95145(honeybee) and 95147 for the three vespid mix. Would you agree it is 95149?
Thanks, Tina

 

[Chelle-Lynn]

If the total is 5 separate venoms, the code would be 95149. You would not bill them separately.

 

[Shawnee]

What ICD-10 do you use for the Mixed Vespid Combo?