tci Part B Insider - 2015 Issue 28

Allergy Immunotherapy: 95165: This Payer Cites Ongoing Problems With Allergy Shot Coding

Hint: Limit number of units you bill to the size of the vial. Although you might think you’ve got the allergy shot coding rules committed to memory, one Part B MAC is hoping you’ll revise some of those traditions. On July 31, NGS Medicare distributed a notification to Part B practices alerting them to tighten up their claims for 95165 (Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens [specify number of doses]). “Investigations by the OIG in 2002 and again by the Program Safeguard Contractor in...

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