Allergy|Immunology - Articles

Allergy Immunotherapy Coding Guidelines (CMS) Effective: 01/01/2006
November 26th, 2018 - Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
Immunotherapy (Allergy Shots) is a medical treatment to used to treat and prevent reactions or desensitize the immune system to specific allergens that trigger allergy symptoms. Payers have specific coverage guidance and rules for reporting injections, the specific type of antigen(s) provided and how they should be reported. Below are the coding guidelines from ...
Common Allergy CPT Codes and MUEs
October 30th, 2018 - Find-A-Code™
Below is a list of common CPT codes for Allergy and Immunology. Each code is listed with the following information: Medicare Unlikely Edits (MUEs) for both a Non-Facility (NF) and Facility (F) setting. Professional/Technical Component (PC/TC) Indicator. Key Indicator or Procedure Code Status Indicator, which is a Medicare assigned "Indicator" to each code in ...
Documentation Requirements for Allergy Testing 10/29/2018
October 30th, 2018 - Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
Per CMS, First Coast Service Options LCD 33261: Medical record documentation (e.g., history & physical, office/progress notes, procedure report, test results) must include the following information, and be available upon request: A complete medical and immunologic history and appropriate physical exam obtained by face-to-face contact with the patient. The medical necessity for performing ...
Allergy Testing 10/29/2018
October 29th, 2018 - Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
Allergy testing may be performed due to exaggerated sensitivity or hypersensitivity.  Using findings based on the patient’s complaint and face-to-face exam. Testing may be required to identify and determine a patient's immunologic sensitivity or reaction to certain allergens using certain CPT codes.  According to CMS, LCD 33261, allergy testing can be ...
Influenza, Are You Billing Correctly?
January 31st, 2018 - Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
With this year's Flu season being the most widespread on record, providers are seeing more patients and giving more immunizations for influenza than normal. Here are a few things to keep in mind during this flu season.  Know the rules with your payers to ensure proper reimbursement and correct billing. For example, did you ...

Article categories




About Codapedia & Find-A-Code Contact Us Terms of Use Privacy Policy Advertise with Us

Codapedia™/Find-A-Code™ - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain) - Fax (801) 770-4428

Copyright © 2009-2019 Find A Code, LLC - CPT® copyright American Medical Association