Allergy Test CPT Codes Limitation for Florida Blue

Reimbursement for allergy testing is based on the number of each type of test performed by the same physician and is subject to the following limitations when the coverage criteria are met

Reimbursement Information:

Reimbursement for allergy testing services includes the following components,

• Supplies (e.g., sterile diluents, syringes, needles)
• Monitoring the physical status of the patient during testing 
• Observation, recording, and interpretation of the test results

Reimbursement for “allergy testing” is based on the number of each type of test performed by the same physician and is subject to the following limitations when the above coverage criteria are met,

Limitation:

Reimbursement for “allergy immunotherapy” is based on the number of procedures performed and is subject to the limitations below,

See Also Coding Guidelines for Allergy Codes

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