AMA CPT® Assistant - 2013 Issue 1 (January)
Allergy and Clinical Immunology Changes for 2013 (January 2013)
January 2013 pages 9-10 Allergy and Clinical Immunology Changes for 2013 Notable changes have been made in the Allergy Services section of the CPT 2013 code set. New and revised guidelines and parentheticals were created, four codes were added, and three codes were deleted. Also, a new subsection, Ingestion Challenge Testing, was added to the Allergy and Clinical Immunology section. This article offers a review of these changes. Allergy and Clinical Immunology Guideline Changes Codes in the 95004-95071 series are used to report allergy testing. Codes in the 95115-95199 series are used to report allergen immunotherapy. Immunotherapy (desensitization, hyposensitization)...
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Article Overview
This January 2013 CPT Assistant article explains changes in the Allergy and Clinical Immunology section of the CPT 2013 code set. It covers revised guidance for allergy testing, immunotherapy-related reporting, updates to parentheticals and time-based testing instructions, and the addition of a new subsection for ingestion challenge testing. The article is relevant to coding professionals, clinicians, and billing staff who report allergy-related services and need to understand the scope of the 2013 revisions.
Why This Topic Matters
The article helps readers understand which parts of the allergy services section were changed for 2013 and where new or revised reporting guidance applies. It is useful for keeping coding practices aligned with current CPT structure and section organization.
Article Sections
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January 2013 pages 9-10
Publication information and a brief overview of the CPT 2013 allergy and clinical immunology updates covered in the article.
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Allergy and Clinical Immunology Guideline Changes
Revisions to general guidance for reporting allergy testing and related services, including changes affecting evaluation and management references and modifier use.
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Allergy Testing
Updates to the allergy testing subsection, including revised parenthetical guidance, deleted codes, and newly added code replacements.
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Clinical Example (95018)
An illustrative example showing the type of clinical scenario associated with the revised allergy testing code discussion.
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Ingestion Challenge Testing
Introduction of a new subsection addressing ingestion challenge testing, including revised code structure, timing concepts, and related guidance.
What You Will Learn
- How the CPT 2013 allergy and clinical immunology section was reorganized
- Which general guideline areas were revised for allergy testing and therapy reporting
- What changed in the allergy testing subsection for 2013
- How the new ingestion challenge testing subsection is structured
- Which broad timing and reporting topics are addressed for the updated testing codes
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Clinical documentation specialists
- Allergy and immunology practices
- Physician office staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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