Medicare_Carriers_Manual / 15050 / 15050

Why This Topic Matters

Allergy testing and immunotherapy services have special billing and payment rules under Medicare, and this article explains the policy framework needed to understand those claims. It helps readers identify which allergy service categories are addressed and how Medicare organizes payment policy for them.

Article Sections

1. 15050. ALLERGY TESTING AND IMMUNOTHERAPY

   Overview of Medicare policy for allergy testing and allergen immunotherapy services under the physician fee schedule. The section is organized into testing, immunotherapy, same-day visit, and related supply policy topics.

2. A. Allergy Testing

   General billing and payment treatment for allergy testing services, including how Medicare handles units and payment for testing claims.

3. B. Allergy Immunotherapy

   Medicare policy for immunotherapy services, including the transition to physician fee schedule payment and the distinction between component services and broader immunotherapy billing categories.

4. C. Allergy Shots and Visit Services On Same Day

   Guidance on same-day reporting of visit services with allergy injection-related services and the use of global surgery concepts in this context.

5. D. Reasonable Supply of Antigens

   Reference to related Medicare coverage guidance addressing antigen supply and the concept of reasonable supply.