Kristin Posted Mon 24th of September, 2012 12:59:57 PM
Does a physician or mid level provider have to be present for allergy injections to be given?
SuperCoder Answered Mon 24th of September, 2012 17:35:05 PM
The answer is yes. Otolaryngologists frequently place patients suffering from allergies on injection programs. If the otolaryngologist gives the shots, he or she is likely to do the allergy testing, which also includes preparing shots that normally are injected twice a week into the patient in small doses until the body builds up a resistance to them.
Sometimes, however, the specialist who tested for the allergies is located far from the patient, making two visits a week for injections quite inconvenient.
So, some patients may arrange to use other physicians closer to their workplace, or even perform the injections themselves, following an early stage in the physician�s office that determines that no adverse reactions to the shots have occurred. Typically, patients would take the first five or six shots in the otolaryngologist�s office before injecting themselves at home.
Depending on the circumstances, the otolaryngologist may have tested the patient for allergies, prepared antigens that the patient self-injects, delivered the injections to the patient in the ENT office, or any combination of the above.
The fact that the physician who prepares the antigens for the allergy shots may not end up doing the injections is one reason why so many codes are required for billing and reimbursement in the treatment of allergies.