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Medicare Units for 95004 and 95024
I am having trouble finding the number of units covered per year for Allergy Testing codes 95004 and 95024. Does anyone know? I found the LCD on the codes, but it does not specify the number of units allowed per year. Any help would be greatly appreciated.
re: Medicare Units for 95004 and 95024
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Tips
Question: A physician tests a patient, who complains of skin rashes, for reactions to dogs, cats, ragweed, oak, maple, penicillin, dust mites, and bees. How should I report 95004 and 95010?
Answer: You should report 95004 x 4 units for the ragweed, oak, maple, and dust mites, and 95010 x 4 units for the dog, cat, penicillin, and bee stings.
Dermatologists have many ways of determining the cause of a patient's skin rashes. Moreover, they usually want to test several substances at once. Bear in mind that each substance counts as a separate test. Be sure to code for each allergen administered by putting the number in the "units" field of your claim form.
CPT® 95024:
In this type of test the physician or technician introduces small amounts of different allergens into the epidermis and non–vascular superficial dermis through intracutaneous (intradermal) injection. After a predetermined interval of time (e.g. 15 minutes) the area is visually checked for any visible allergic reaction, which indicates that a person may or may not be allergic to the particular allergen. The results are interpreted and reported.
The number of tests should be specified.
I hope this helps.