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Can a visit be billed when only giving a patient an allergy test?

Irena Posted Thu 08th of May, 2014 09:55:08 AM

Can we bill code 99211 when we bill for allergy test 95024 if a patient is only coming in for that service? will using this code affect when they come in for regular extended visits if it's within the same month? code 99213 or 99214?

SuperCoder Answered Thu 08th of May, 2014 11:41:38 AM

Effective January 1, 2008, the descriptors for the allergy diagnostic test codes (CPT codes 95004, 95024, and 95027) have been modified to clarify that the service includes "test interpretation and report by a physician." In addition, Centers for Medicare & Medicaid Services (CMS) now recognizes physician work for CPT codes 95004, 95024, and 95027. Furthermore, the Allergy and Clinical Immunology guidelines have been modified to indicate that when reporting any allergy testing on the same day as a significant, separately identifiable E/M service, modifier 25 must be appended to the E/M service code.

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