Allergy Immunotherapy Billing

Allergy Immunotherapy Billing

Whoever wrote “April showers bring May flowers” held the key to the peak Allergy and Asthma season.  May has been designated an awareness month for Allergy and Asthma by the Asthma and Allergy Foundation on America (AAFA).  Asthma and allergy are commonly “linked” together as allergies can be one of the major contributing factors for those patients diagnosed with asthma.

Asthma and allergy have been estimated to affect one in five Americans.  As a health care professional, there are significantly high odds you encounter these conditions in a high proportion of your patient population.  If you are a primary care type provider, you may be able to adequately treat those mild sufferers.  For those with more severe symptoms, a referral to an Allergy and Asthma Specialist will be warranted.

A common treatment for allergies is Allergen Immunotherapy or “allergy shots”.  This type of treatment is prescribed by the Allergy specialist who also may administer the treatment personally.  In today’s healthcare environment though, many managed care organizations prefer the patient receive the treatment via their assigned primary care provider.  The table below provides CPT codes that are used in the billing of allergen immunotherapy.

Tips for Allergy Sufferers

See the following tips on allergy exposure and prevention.  For more detailed information on Allergy and Asthma see the website for the Asthma and Allergy Foundation on America (AAFA).

Some facts about allergy exposure:

Allergens can be inhaled  airborne allergens / ingested food allergies / penicillian allergy  injected / insect venom / absorbed through the skin contact allergy

Jackson, MS ranked #1 in the AAFA report on the 100 most challenging places to live with allergies  mississippi

Prevention tips: 

dust to control mites /  dust mites / vacuum often  indoor allergies

pet dander / reduce pet dander /  outdoor allergies  shut out pollen   mold  avoid mold spores

CPT CODE : DESCRIPTION

95115

One Injection only, no serum-PROFESSIONAL SERVICES FOR ALLERGEN IMMUNOTHERAPY NOT INCLUDING PROVISION OF ALLERGENIC EXTRACTS; SINGLE 

INJECTION

95117

Two or more injections,  no serum-PROFESSIONAL SERVICES FOR ALLERGEN IMMUNOTHERAPY NOT INCLUDING PROVISION OF ALLERGENIC EXTRACTS; 2 OR MORE INJECTIONS

95144

Serum only, single dose vial, bill number of vials-PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERGEN IMMUNOTHERAPY, SINGLE DOSE VIAL(S) (SPECIFY NUMBER OF VIALS)

95145

Single insect venom only, multi-dose vial, bill number of does-PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERGEN IMMUNOTHERAPY (SPECIFY NUMBER OF DOSES); SINGLE STINGING INSECT VENOM

95146

Two insect venoms only, multi-dose vial, bill number of does-PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERGEN IMMUNOTHERAPY (SPECIFY NUMBER OF DOSES); 2 SINGLE STINGING INSECT VENOMS

95147

Three insect venoms only, multi-dose vial, bill number of does-PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERGEN IMMUNOTHERAPY (SPECIFY NUMBER OF DOSES); 3 SINGLE STINGING INSECT VENOMS

95148

Four insect venoms only, multi-dose vial, bill number of does-PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERGEN IMMUNOTHERAPY (SPECIFY NUMBER OF DOSES); 4 SINGLE STINGING INSECT VENOMS

95149

Five insect venoms only, multi-dose vial, bill number of does-PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERGEN IMMUNOTHERAPY (SPECIFY NUMBER OF DOSES); 5 SINGLE STINGING INSECT VENOMS

95165

Serum only, multi-dose vial, bill number of doses-PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERGEN IMMUNOTHERAPY; SINGLE OR MULTIPLE ANTIGENS (SPECIFY NUMBER OF DOSES)

May 6th. is Melanoma Monday

The American Academy of Dermatology (AAD) designates the first Monday in May as Melanoma Monday®.  The AAD spearheads the effort to raise awareness of melanoma and other types of skin cancer. 

Skin Cancer Statistics skin cancer statistics

• Skin cancer is the most common cancer in the United States.

• Current estimates are that one in five Americans will be diagnosed with skin cancer in their lifetime.

• Melanoma, the deadliest form of skin cancer, is the most common cancer for 25- to 29-year-olds.

Don’t be one of those statistics.  Use the tools below:

Check your skin skin cancer self examination  Early detection through self-exams can sometimes be the difference between life and death.

Free cancer screeningFree Cancer Screening   Dermatologists across the country volunteer their time to provide free skin cancer screenings. 

Prevent Skin Cancer prevent skin cancer  The most preventable risk factor for developing skin cancer is sun exposure.