Forum - Questions & Answers

Aug 28th, 2014 - lhaas01 13 

Allergy Shot Administration in Family Practice Facility

We have patients that bring in their own extract for allergy shot administration. The medical assistant is the one who administers the shot (doctors are in-house). We used to use the administration codes 95115 and 95117 with the V-code diagnosis. Some reason we changed the administration of the allergy shot to be 96372. We were told that because the "physician" was not the one directly administering the shot, we could not use the 95115 & 95117. However, according to CPT®, 96372 is not supposed to be used for allergy shot administration.

According to the "Procedures 2014 Coder's Desk Reference", it states that 95115 & 95117 is used when "A Physician injects.....". It does NOT say "The physician or an assistant under direct physician supervision...". This is why we are assuming we cannot use the 95115 & 95117 because our MAs do the injections.

How are we to bill for allergy shot injections when not given by the physician?

CAN ANYONE PLEASE ASSIST WITH THIS ISSUE...

Thank you

Sep 3rd, 2014 - blm321 27 

re: Allergy Shot Administration in Family Practice Facility

I bill allergy, all day! (lol) 95115 and 95117 ARE the correct codes. The physician is in the office at the time of service, these are the appropriate codes.



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