Don't bill for E/M in addition to allergy shot, unless separate and significant work is done

Why This Topic Matters

It helps practices avoid unintentional overreporting or underreporting around allergy injection visits and related office services, especially when a patient has a separate problem or a reaction that requires additional attention.

Article Sections

1. Allergy shot visits and included work

   Introduces the setting for allergy immunotherapy visits and discusses the general work included in the injection service. It also addresses the related time patients may spend during the visit.

2. When a separate E/M service may be reported

   Describes scenarios in which a separately identifiable evaluation and management service may accompany an allergy shot visit. The discussion focuses on additional patient issues or reactions that require physician involvement.

3. Don’t bill for preparation of extracts

   Explains the distinction between injecting allergenic extracts and preparing them. It notes that separate reporting may depend on whether the substance was prepared by the practice.