decisionhealth Newsletters, Coder Pink Sheets - 2013 Issue 2 (February)
CPT 2013: Track time to bill new ingestion challenge codes for food allergy patients
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Article Overview
This article explains a CPT 2013 update for ingestion challenge testing in food and drug allergy care. It covers the purpose of the new time-based reporting approach, documentation and time-tracking considerations, a general example of how the service is performed, and payer policy issues that practices should review before billing. It is aimed at allergy practices, physicians, coders, and billing staff working with allergy-related testing services.
Why This Topic Matters
The article is relevant because it describes a coding change that affects how allergy practices report a commonly performed service, along with payer policy nuances that can affect claim acceptance and documentation requirements.
Article Sections
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How to use the new codes
Explains the general clinical context for ingestion challenge testing and summarizes the major work components associated with the service. It also discusses timing and documentation considerations for the updated reporting approach.
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Payers generally cover test
Summarizes payer coverage themes and notes that local policies may vary by contractor and place of service. It also highlights the need to review medical-necessity and documentation expectations before billing.
What You Will Learn
- What CPT 2013 changed for ingestion challenge testing
- Why timing and documentation are important for this service
- How payer policies may affect coverage and reporting
- What types of allergy-related scenarios the article addresses at a high level
Who Should Read This
- Allergy practices
- Physicians
- Medical coders
- Billing staff
- Practice managers
Codes Discussed
Code Ranges Discussed
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