tci E/M Coding Alert - 2014 Issue 11

You Be the Coder: Pair Up Immunotherapy with E/M Service

Question: My pulmonologist assessed a patient suffering from severe pain and fever due to a peritonsillar abscess and the patient received her scheduled bimonthly series of allergy immunotherapy for allergic rhinitis due to dander. What would I report? Tennessee Subscriber  Answer: You can report 95115 (Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection) and an E/M service from the 99211-99215 (Office or other outpatient visit for the evaluation and management of an established patient...) range. You should attach modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other...

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