CPT^® 95180, Under Allergen Immunotherapy Services and Procedures

The Current Procedural Terminology (CPT^®) code 95180 as maintained by American Medical Association, is a medical procedural code under the range - Allergen Immunotherapy Services and Procedures.

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Summary

Code 95180 is in the Medicine section; subsection Allergy and Clinical Immunology/Allergen Immunotherapy. An allergenic extract is a protein containing an extract purified from a substance to which a patient may be allergic.

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Allergy: E/M with Injection

Hi, I'm new to Allergy and I have a general question. I'm seeing patient routinely come in for immunotherapy injections and quarterly it seem that the provider does a full visit (E/M). I've read that ... [ Read More ]

Aspirin Desensitization

This is a new procedure for us in the office, any suggestions on how to get maximum reimbursement when billing this procedure? We are using codes 99213,94010 and 95180. We had issues with the insuran... [ Read More ]

Allergy 95180

I see that 95180 is per hour. But, at what point does the time start for Rapid desensitization? As an example 95076 ingestion challenge starts when the patient is in the room including the pre-test, i... [ Read More ]

Updosing for Immunotherapy of peanut allergy

Has anyone been coding for oral immunotherapy ? The patient is coming in for small doses of peanut flour every 15 min. He had no reaction. They monitored him for the next hour. Then he was discharged ... [ Read More ]

BCBS denying E/M codes with 25 modifier

I looked up the NCCI Policy Manual for Allergy Testing and Immunotherapy... there are some rules outside of the minor procedures policy I mentioned. Here is the entire excerpt... there is a specific ... [ Read More ]

when coding 95180 and the patient has a reaction...what to code

When a patient comes in for 95180.....does well for two hours then has a reaction that the Dr. has to give meds for and stay by the patients side for alteast an hour to monitor vitals and get the pati... [ Read More ]

Billing Rapid Desensitization for Chemo Infusion

Hi All, My infusion dept is billing rapid desensitization (95180) with one unit for rituxan treatment of 4hrs. Can anyone confirm 95180 should be billed with the number of units that reflect the trea... [ Read More ]

Billing Chemo Infusion and Rapid Desensitization

Biling for Rapid Desensitization with rituxumab

Hi all, When administering rituxan and doing a rapid desensitization, should the chemo admin codes 96413 and 96415 be billed in addition to 95180 for the rapid desensitization ? or should the rapid d... [ Read More ]

Allergy to Lidocaine testing allergy allergy testing lidocaine testing time

I believe that I use 95018 for the drug allergy testing and list the number of tests performed. The doctor believes it is acceptable to bill 95180 with a time unit because the testing was done of a pe... [ Read More ]

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