June 1996 page 10
Coding Consultation
Medicine, Allergen Immunotherapry, 95130, 95131 (Q&A)
Question
If the professional services for allergen immunotherapy are provided in the prescribing physician's office or institution, including provision of the allergenic extract, and a single stinging insect venom is administered via one injection followed by a second, separate injection for administration of two stinging insects venoms, how would I code this service?
AMA Comment
From a CPT coding perspective, the codes for the administration of stinging insect venoms are intended to be reported per injection. Therefore, two codes would be reported (95130 and 95131).
Medicine...
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This CPT Assistant Q&A explains the scope of coding guidance for allergen immunotherapy services in a specific clinical scenario involving venom administration in a physician office or institution. It is useful for medical coders, billing staff, and compliance teams seeking to understand how the article frames reporting considerations for this type of service under CPT guidance.
Why This Topic Matters
Allergen immunotherapy coding can be service-specific and sensitive to how administration is structured and documented. This article is relevant to professionals who need to align coding practice with CPT Assistant commentary on venom immunotherapy reporting.
Article Sections
Coding Consultation
Introduces the coding question presented in the article and the general clinical setting involved.
Question
Presents the coding scenario involving allergen immunotherapy services and venom administration.
AMA Comment
Provides the CPT Assistant commentary addressing the reporting perspective for the scenario described.
What You Will Learn
The clinical context addressed by the article
The type of CPT guidance discussed
How the article frames reporting considerations for venom immunotherapy administration
The relevance of the physician office or institutional setting to the question posed
Welcome to the ultimate resource for mastering CPT coding – the CPT® Assistant. This indispensable tool, brought to you by the American Medical Association (AMA), is designed specifically for medical coders, auditors, and billers who strive for accuracy and efficiency in their daily work with patient charts. Whether you are validating codes, training staff, or appealing insurance denials, CPT Assistant provides the authoritative guidance you need to excel.
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