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Family Practice Coding Alert

Reader Questions:

95117 Clinches More Than 1 Allergy Shot

Question: A nurse administers three immunotherapy injections to a patient. Should I report 95115 with units?

North Carolina Subscriber Answer: No. You should instead report 95117 (Professional services for allergen immunotherapy not including provision of allergenic extracts; two or more injections).
Code 95117 doesn't require any units because the code refers to "two or more injections." So payment remains the same regardless of how many multiple injections the nurse gives the patient.
Catch: If the patient receives only one injection, you should assign 95115 (... single injection).

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