Denial rates of common allergy codes change — but remain tough to get paid

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article examines Medicare claims data for allergy skin testing and related billing trends over several years, with emphasis on denial-rate patterns, utilization differences, and the impact of a 2013 code change. It is relevant for clinicians, allergy/immunology practices, coders, and billing staff who follow CPT reporting and payer adjudication trends for allergy testing services. The discussion focuses on general denial-rate analysis, code-usage patterns, and the way Medicare data reflect shifts in billing behavior.

Why This Topic Matters

Allergy testing services are common in specialty practice, and denial trends can affect reimbursement, workflow, and coding review. Understanding which allergy testing services are drawing more denials helps practices monitor billing performance and payer response over time.

Article Sections

  1. Benchmark of the week

    Introduces the Medicare-based denial-rate analysis for allergy skin testing services and frames the overall trend being discussed.

  2. Denial trends and code changes

    Reviews multi-year denial patterns across allergy testing services, including the effect of a 2013 code revision and differences in utilization across services.

  3. Source

    Identifies the underlying Medicare claims analysis used for the article's discussion.

What You Will Learn

  • How Medicare denial patterns for allergy testing services are being tracked over time
  • How a code revision in allergy testing is reflected in billing trend discussions
  • Why utilization volume matters when interpreting denial-rate data
  • What general types of allergy testing services are included in the analysis

Who Should Read This

  • Medical coders
  • Billing staff
  • Allergy/immunology practices
  • Revenue cycle professionals
  • Healthcare administrators

Codes Discussed

Code Ranges Discussed


Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?