AMA CPT® Assistant - 1991 Issue 3 (Fall)
Allergen Immunotherapy (Fall 1991)
Fall 1991 page 19-end Coding Clarification Allergen Immunotherapy In the Summer Issue of the CPT Assistant, we discussed allergy testing. The purpose of the following article is to provide information on allergen immunotherapy. Allergen Immunotherapy not Including Extracts (95115, 95117) Codes 95115 and 95117 describe administration of allergenic extracts when the extract is not included in the code descriptor. An example of this might be when a patient brings his allergenic extract (e.g., multiple dose vial) that was provided by an allergist, to a family practitioner who administers a single injection. The family practitioner would report 95115. A...
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Article Overview
This article explains the scope of allergen immunotherapy coding discussed in a Fall 1991 CPT Assistant coding clarification. It focuses on how the article organizes allergen immunotherapy into administration, prescribing-physician office services, antigens/extracts, and associated office or outpatient visit reporting considerations. The content is intended for coding professionals, billers, and clinicians who need a general understanding of the topics addressed in the premium article without exposing the full proprietary guidance.
Why This Topic Matters
Allergen immunotherapy is a recurring coding topic with multiple service components that may be reported differently depending on setting and what was provided. This article helps readers understand the general structure of the guidance so they can determine whether they need the full coding clarification.
Article Sections
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Coding Clarification
Introduces the article as a coding clarification and frames the allergen immunotherapy topic discussed in the issue.
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Allergen Immunotherapy not Including Extracts
Covers the administration portion of allergen immunotherapy when extracts are not included as part of the service. The section references examples involving office-based administration in different practice settings.
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Allergen Immunotherapy in Prescribing Physician's Office
Summarizes immunotherapy services furnished in the prescribing physician’s office, including preparation and provision of the service at a single encounter. It distinguishes this topic from administration-only scenarios.
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Provision of Antigens (allergenic extracts)
Addresses preparation of antigens and allergenic extracts, including different vial types and the fact that administration is not included in this service category.
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Office Visits in Conjunction with Allergen Immunotherapy
Discusses when an office or outpatient visit may be considered alongside immunotherapy and the general circumstances described in the article.
What You Will Learn
- The overall organization of allergen immunotherapy coding topics in the article
- How the article distinguishes administration from antigen or extract preparation
- What general issues are discussed for immunotherapy provided in a physician office setting
- When related office or outpatient visit reporting is addressed in conjunction with immunotherapy
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Allergy and immunology practices
- Primary care practices
- Physician office staff
Codes Discussed
Code Ranges Discussed
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