tci Part B Insider - 2005 Issue 25

Part B Coding Coach: Secure Allergen Immunotherapy Reimbursement That's Nothing to Sneeze At

Tip: Use unlisted code 95199 for food allergies If denials for allergy claims are getting under your skin, follow these five steps for making the best possible case for reimbursement. Step 1: Asses The Allergy Agony Treating a patient for allergies is a complex process that requires separate codes for each stage of testing and treatment.The first step of coding allergen immunotherapy is determining if a patient qualifies for carrier-covered skin testing, says Mary Porter, CPC, coder with Allergy and Asthma Associates in Christianburg, VA. Many carriers require patients exhaust other treatment methods such as medication and avoidance...

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