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Document an Allergy Desensitization Shot - Examine the chart to determine if the serum (allergenic extract) was provided by another health care provider, such as the patient's allergist. If the doctor or nurse administered the injection, use code 95115 for a single injection or 95117 for two or more injections. According to CPT guidelines, other office codes may be used as well if other services were provided at this time.
Determine if the medical professional prepares, but does not inject, the allergenic serum. The doctor prepares the injection based on his assessment of the patient's history and the results of skin testing. He/she may adjust the antigen strength or custom mix the allergy shot by using small amounts of different antigens from separate vials. The number of vials used is immaterial - only code the number of doses prepared. Use code 95144 if the injection is a single dose provided by the allergist for another professional to inject. Use code 95145 if the injection is for a single stinging insect, code 95146 for two stinging insects, code 95147 for three stinging insects, code 95148 for four stinging insects or code 95149 for five stinging insects. Use code 95165 if the injection is for single or multiple other antigens. Use code 95170 if the injection is a whole body extract of a biting insect or arthropod.
Determine if the medical professional prepares and provides the allergy serum, and administers the injection. If this is the case, use codes 95120 through 95134 to reflect all of these services. Do not additionally use the injection codes 95115 or 95117. Use code 95120 for a single injection not containing a stinging insect allergen or code 95125 for two or more injections. Use code 95130 for an injection containing the allergen for a single stinging insect, code 95131 for two stinging insects, code 95132 for three stinging insects, code 95133 for four stinging insects or code 95134 for five stinging insects.
Allergy shots are a form of immunotherapy intended to desensitize the patient to the substance (allergen) that caused his/her allergy. Given in a medical office, the allergy shots contain increasing doses of the allergen. Over time, this desensitizes the immune system, reducing the allergy symptoms. Current Procedural Terminology (CPT) codes allow a medical office to document the allergy shots given to the patient under the Allergen Immunotherapy section. To support billing for medical services, a standardized CPT code is available for every medical procedure and task. The American Medical Association copyrights and maintains the CPT codes.
by eHow
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Document an Allergy Desensitization Shot
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