AAPC - Back to school
Results 1 to 4 of 4

Thread: Allergen Immunotherapy 95165

  1. #1
    Join Date
    Apr 2007
    Tupelo, MS

    Default Allergen Immunotherapy 95165

    AAPC: Back to School
    Code 95165 Preparation and Provision of Antigen for Allergen Immunotherapy

    Need help determining doses per vial. Does anyone have the guidelines for various carriers or would you share how you determine and bill your doses?

  2. #2

    Default Info on doses per vial

    Here's CMS's guidelines on antigen billing. The dosing info starts on pg 191
    I hope this helps. I haven't been able to find similar information from other carriers so I use this info as the guideline.


  3. #3
    Join Date
    Apr 2007
    Chicopee, MA


    This one is really good, too:

    Does anyone have a documentation template for this service?

    How are your providers documenting?


  4. #4
    Join Date
    Apr 2007
    Flint, MI


    I am seeking information and clarity on how to document wastage in the case of a single patient – multi dose vial. The environment would be for an allergists’ office. It seems there should be measures that can track antigen serum preparation, administration and wastage.

    As an example, it is not uncommon to see CPT PC 95165 billed with a qty of 180 and the vaccine administration form indicating 48 doses were used. The documentation does not indicate wastage of the remaining 132 doses. The third party payer has paid the provider for the serum preparation although it was not all dispensed to the patient.

    I would love to see a documentation template for 95165...other than Medicare.

    Thank you,

Similar Threads

  1. 95165 - allergy immunotherapy question
    By KWhite101 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 04-14-2015, 04:12 PM
  2. Sublingual Immunotherapy CPT 95165
    By wandasw in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 10-03-2014, 06:13 PM
  3. allergen immunotherapy CPT
    By 27upstarteR in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 04-15-2014, 01:29 PM
  4. Allergen Immunotherapy
    By Shirley Breslin in forum Billing/Reimbursement
    Replies: 0
    Last Post: 04-25-2012, 10:04 AM
  5. Allergen Immunotherapy 95165
    By mmunoz21 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-05-2008, 07:46 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.