CPT^® 95115, Under Allergen Immunotherapy Services and Procedures

The Current Procedural Terminology (CPT^®) code 95115 as maintained by American Medical Association, is a medical procedural code under the range - Allergen Immunotherapy Services and Procedures.

Additional/Related Information

Tabs

Summary

The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 95115 ? Start a discussion here

Allergy Shot Physician Supervision

I would like to confirm my understanding of 95115 and 95117 and the physician supervision requirement. I just looked these up in the MPFS and there is a "9" indicating not applicable. So there is no p... [ Read More ]

Billing 95165

Hello, When billing code 95165, providers should report the number of units representing the number of 1 cc doses being prepared. A maximum of 10 doses per vial is allowed for Medicare billing, even ... [ Read More ]

Allergy question on CPT 95165

You cannot bill 95115 and 95117 together. There is a CCI edit against these codes. Both of these codes are billed with 1 unit. Use 95115 if you are giving 1 injection, and 95117 if you are giving t... [ Read More ]

96165 Billed at time of mixing or injection

Each insurance has there own limits on units. I know Medicare is 30 units. We have the serum mix (95165) prepared prior to the patient coming in and we bill the # of units mixed on the date they are ... [ Read More ]

Allergy Shots

I need assistance in finding the documentation requirements if a co-signature/signature is required by the supervising physician for an allergy shot 95115, 95117. Clinic located in Texas.... [ Read More ]

Vial check for allergy injection

You only bill for the injection. You will use 95115 if only 1 allergy injection or 95117 for 2 or more allergy injections.... [ Read More ]

Vial check for allergy injection

Is a vial check counted as an injection? Vial check is done criteria is met and the injection is given same day; do we bill 95115 or 95117? Then if vial check is done and criteria not met and the pat... [ Read More ]

95165 Billing & Preparation Question

The preparation is the mixing of the antigens, for the administration you'll bill 95117 or 95115. Is the other site already billing the mixing? We do all our stuff in house but I know that for the pat... [ Read More ]

Allergy shot Vials

When patients bring in their own allergy serum vials and the office administers them, we bill 95115 (allergy immunotherapy, single injection) and 95117 (allergy immunotherapy, 2 or more injections) fo... [ Read More ]

PPD Tuberculin Purified Protein Derivative (Mantoux), with Tubersol ? CPT

I have been looking for a CPT for this. I came up 95115; however, according to Codify I cannot bill that with a diagnosis of B07.8. Has anyone ever billed PPD before? Plan: Immunotherapy: PPD. Tr... [ Read More ]

View All