Wiki Reimbursement for Immunotherapy Serums

[jmeberst314@gmail.com]

Morning All,

I work at PCP office and we administer a lot of allergen shots, we also have a lab create allergen immunotherapy serums for our patients. How do I properly code for this as the lab bills our office. Would codes 95144 or 95165 be appropriate and do I need to append a modifier since we are not creating the serums in office. I've read up a little on 95165 and the 10cc vial and honestly I am just a little confused and need some help, please.

 

[jacobc@gcrmc.org]

Response?

Did you ever get an answer to this? I'm in the same boat right now, and being told I cannot bill 95144 or 95165, because we did not prepare the antigens, then off-site vendor did. I've read many articles and I am leaning towards billing it, as it is still an expense to the practice.