Home

Reader Question: Two or More Injections

Question: Can I include more than one unit when billing code 95117?

Arizona Subscriber

Answer: 95117 (professional services for allergen immunotherapy not including provision of allergenic extracts; two or more injections) is always coded with one unit only, regardless of how many injections are performed. However, some carriers will tell coders that to process the claim, they must put a 2 in the units box. If that is what the carrier requests, make sure to get it in writing, because it violates CPT coding principles.

-- Reader Questions answered by Susan Callaway, CPC, CCS-P, a coding and reimbursement specialist and educator in North Augusta, S.C.; Chrissy Rogan, CPC, billing coordinator with Metropolitan ENT, a two-physician practice in Alexandria, Va.; George Smaistrla, CHFP, clinical administrator at a five-physician practice in Decatur, Ill.; and Lori Wyvill, CPC, office manager for Suzanne Weakley, MD, a general allergist in Houston.

- Published on 2001-09-01

Already a
SuperCoder

Member