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Allergy Shots

  1. Unhappy Allergy Shots
    Medical Coding Books
    We are recieving denials from insurance companies for CPT 95117 being billed with a diagnosis of V15.09. Can anyone advise what diagnosis(s) are accepted when billed with that CPT?

  2. Default
    Have you tried 995.3 ?


  3. #3
    Default
    Quote Originally Posted by Jaskal27 View Post
    We are recieving denials from insurance companies for CPT 95117 being billed with a diagnosis of V15.09. Can anyone advise what diagnosis(s) are accepted when billed with that CPT?
    We use V07.1 with all companies except Medicare. Hope this helps!
    Teresa Collins, CPC

  4. #4
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    I'll wager an opinion here.

    I think your ICD-9-CM code would be whatever you are administering the allergy injection for (i.e., allergic rhinitis, hay fever, etc).

    If the patient is not actually suffering from say allergic rhinitis or hay fever, you may want to try code
    V07.1 for desensitization to allergens.

    Hope this helps and again this is my opinion.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

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