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Billing E&M code with 95180 (rapid desensitization)

Tina Posted Thu 09th of February, 2012 21:00:15 PM

I have been advised I should not bill an office visit with the rapid (95180) code. The insurance company is trying to argue the ov is included in the rapid?? Is this true Tina

SuperCoder Answered Fri 10th of February, 2012 18:48:26 PM

Evaluation and management codes reported with allergy testing or allergy immunotherapy are appropriate only if a significant, separately identifiable service is administered. When appropriate, use modifier -25 with the E&M code to indicate it as a separately identifiable service. Obtaining informed consent is included in the immunotherapy. If E & M services are reported, medical documentation of the separately identifiable service should be in the medical record.

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