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allergy treatment

Christine Posted Fri 27th of June, 2014 15:12:27 PM

Can the physician bill code 95165(preparation & provision of antigen for allergen immunotherapy) if the vial is not given to the patient? ie patient changed mind after the vial(s) had been prepared.

SuperCoder Answered Mon 30th of June, 2014 07:31:28 AM

Yes, you can bill 95165.

95165 represents "Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens".

This code is used for the service rendered by physician in supervising the preparation and provision of antigens for allergen immunotherapy. If after the preparation of vial the patient declines from continuing the treatment, it should not affect the reimbursement of 95165.

Thanks !!

Christine Posted Mon 30th of June, 2014 12:54:29 PM

Just to clarify my original question, the vials were never given to the patient and no injection was ever given. So would you still bill 95165?

SuperCoder Answered Tue 01st of July, 2014 05:33:36 AM

Yes, you can bill 95165 as this code is for preparation of vials and not for administration of immunotherapy injection. If after the preparation, patient is denying to continue treatment as planned, you can still bill 95165 for services rendered by physician in preparing the antigen vials.

Thanks !!

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