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Allergy Immunotherapy

Deaconess Posted Wed 08th of March, 2017 17:46:44 PM
hi, our allergy dept has been always using the same 10-cc vial for each patient, billing for 10cc vial at the beginning and then only for the injection(s) (95115,95117) for the remaining 9 injections. There is now a nation-wide shortage of venom, so they are wanting to switch over to using multi-dose vials where its the same 10 cc vial, but multiple patients will be using the same vial. Any instruction on how to bill this way?
SuperCoder Answered Thu 09th of March, 2017 09:32:24 AM



Multi-dose vials should be dedicated to a single patient whenever possible. If multi-dose vials must be used for more than one patient, they should only be kept and accessed in a dedicated medication preparation area (e.g., nurses station), away from immediate patient treatment areas. This is to prevent inadvertent contamination of the vial through direct or indirect contact with potentially contaminated surfaces or equipment that could then lead to infections in subsequent patients.


Medication vials should always be discarded whenever sterility is compromised or questionable.


  • If a multi-dose has been opened or accessed (e.g., needle-punctured) the vial should be dated and discarded within 28 days unless the manufacturer specifies a different (shorter or longer) date for that opened vial.

  • If a multi-dose vial has not been opened or accessed (e.g., needle-punctured), it should be discarded according to the manufacturer’s expiration date.

You can bill for the drug administered as:

Mention the NDC number of the drug administered and the dosage given to each patient.

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