Allergy & Immunology

99%

Allergy testing and immunotherapy billing for clinics and specialized practices.

Specialty highlight

99%

Built around payer rules, documentation requirements, and coding nuances.

Allergy Test Coding Accuracy

99%

Clean Claim Rate

96%

Overview

Billing in Allergy & Immunology

A practical view of what makes this specialty unique.

Allergy and Immunology billing is procedure-centric, revolving around allergy testing and the preparation and administration of immunotherapy. This area has very specific coding rules and is heavily scrutinized by payers. Our allergy billing service is designed to navigate this complex landscape, ensuring accurate coding for percutaneous and intradermal testing, correct billing for antigen preparation, and precise management of the multiple injections involved in immunotherapy, maximizing your revenue while maintaining strict compliance.

Accurate coding for percutaneous and intradermal allergy testing.

Standardized into our workflow to reduce rework and protect revenue.

Expertise in billing for antigen preparation (95144, 95145-95170).

Standardized into our workflow to reduce rework and protect revenue.

Management of immunotherapy injection services (95115-95120).

Standardized into our workflow to reduce rework and protect revenue.

Coding for food challenges and drug allergy testing.

Standardized into our workflow to reduce rework and protect revenue.

Challenges

What slows reimbursement

The common friction points that trigger delays, denials, and rework.

Key challenges

Accurately coding for allergy testing, distinguishing between percutaneous (prick) and intradermal tests.
Billing for the preparation of allergy extracts (antigens) for immunotherapy.
Managing the complex billing for immunotherapy injections (shot visits) over a long period.
Ensuring proper coding for the number of vials and doses administered.
Navigating payer policies for covered vs. non-covered tests and treatment.

Our solutions

Certified allergy coders with specialized knowledge of CPT and HCPCS coding for allergy services.
Precise coding for all allergy testing, including percutaneous (95004), intradermal (95017, 95018), and patch tests.
Expertise in billing for the preparation of antigen vials (95144-95170) based on the number of doses.
Meticulous management of immunotherapy injection billing, tracking patient visits and doses.
Proactive verification of insurance benefits for allergy testing and treatment.
Detailed support for coding for pulmonary function tests and other related diagnostics.

Features