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CPT® Code Set - 95170
  Code Information  
95170 - CPT® Code in category:  Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy

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  Additional Code Information (Global Days, MUEs, etc.)  

Additional Code Information includes:

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  • Assistant Surgeon (80, 82)
  • Bilateral Surgery (50)
  • CCS Clinical Classification
  • Co-Surgeons (62)
  • Diagnostic Imaging Family
  • Facility MUEs
  • Global Days
  • Hierarchical Condition Categories (HCC)
  • Major Complications or Comorbidities (MCC/CC)
 
  • Medicare Status Code
  • Multiple Procedures (51)
  • Non-Facility MUEs
  • OTS Orthotic
  • PC/TC Indicator (26)
  • Physician Supervisions
  • Team Surgery (66)
  • Type Of Service (TOS)
  • and more...
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  Top Modifiers - Most Often Billed  

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  CPT Reverse Index Lookup  

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  Code History  

View historical information about the code including when it was added, changed, deleted, etc.

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  My Notes  

Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account.

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  Articles & Newsletters  
  CPT® Assistant Articles   (6)  
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The following CPT® Assistant Articles refer to this code (95170):

2005

2001

1996

1995

1991

  AHA Coding Clinic® Articles   (0)  

AHA Coding Clinic® for HCPCS

No AHA Coding Clinic® for HCPCS Articles link directly to this code.

  DecisionHealth® Articles   (25)  

Official DecisionHealth® Newsletter Archives includes:

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The following DecisionHealth® Articles are linked to this code (95170):

2015

2014

2011

2009

2008

2007

2006

2005

2003


  JustCoding® Newsletter Articles   (1)  

The JustCoding® Newsletter is a fantastic resource for coding professionals. Whether you're an inpatient or outpatient coder, a veteran or new to the job, JustCoding will keep your skills sharp and help you stay abreast of CMS changes.

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The following JustCoding® Articles refer to this code (95170):

February 26th, 2019

Resolve 2019 CPT documentation and billing challenges for intravenous drug administration services

Outpatient coders and billers must be able to interpret potentially confusing documentation elements for drug administration services and know what to do when key elements, such as infusion time, are missing from an order. Review CMS guidance on the accurate reporting and billing of intravenous drug administration services for calendar year 2019.  

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  TCI Newsletter Articles   (0)  
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No TCI Newsletter Articles link directly to this code.
  Coding Tips  

Documentation, coding, and billing tips.

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  Web-A-Code - Useful Web Links  
  Medline Plus   from the National Institutes of Health  
  Medical Laboratory Tests  
Demo
Video

95170 is not currently associated with any medical lab test(s).


  Fees  
Calculated for National Unadjusted (00000)
* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.
  Facility   (Hospital, etc.)  
  Non-Facility   (Office, etc.)  
  APC Fee Information  

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  Fee Schedules  

View fees for this code from 4 different built-in fee schedules and from those you've added using the Compare-A-Fee™ tool.

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  UCR Fees   (UCR, WC, Medicare)  

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View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts.

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  RVUs - Relative Value Units  
Calculated for National Unadjusted (00000)
* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.
  Facility 0.09  (Hospital, etc.)  
  Non-Facility 0.3  (Office, etc.)  
  Cross-A-Code™   (ICD-9/10, CPT, Modifiers, NCCI, NDC, ASA CROSSWALK®)  

View relationships (or crosswalks) between code sets.

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There is no code relationship information to display.
  APCs & OPPS  

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  NCCI Edits  

NCCI Edit codes for comprehensive, component and mutually exclusive codes.

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  Medicare Policies & Guidelines (NCDs, LCDs, Articles)  

Subscribers may see Information and Crosswalks here for Local Coverage Determinations (LCDs) with information on covered diagnosis and procedure codes.

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  Commercial Payer Policies  
Commercial Payer Policies
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SAMPLE PAGE:  The search results shown below are for "00100" and "Amerigroup"

  Selected Payers:   Amerigroup  
  Applicable Policies  


  Bookmarks:  
  MIPS Quality Measures (formerly PQRS)  

The Merit-based Incentive Payment System (MIPS) is part of the Quality Payment Program (QPP) that was created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).  It replaced the Physician Quality Reporting System (PQRS) beginning in the performance year 2017.  Quality, which is one category of MIPS, can be reported if an eligible CPT or ICD-10 code is reported for an encounter.  Learn more about MIPS at qpp.cms.gov or purchase easy-to-follow training at https://instacode.com/mips-training-made-simple-0.

This code (95170) was not used (in 2016) with any individual PQRS measures.