How To Use CPT Code 95028

CPT 95028 describes the procedure for intracutaneous (intradermal) tests with allergenic extracts to determine if a patient has a delayed allergic response. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 95028?

CPT 95028 can be used to describe the procedure for intracutaneous (intradermal) tests with allergenic extracts. These tests are performed to determine if a patient has a delayed allergic response to specific substances. The provider injects the patient’s skin with allergenic extracts, usually on the back, and the patient returns after a few days for evaluation of the reaction. The provider then measures and documents the reaction, and specifies the number of tests performed.

2. Official Description

The official description of CPT code 95028 is: ‘Intracutaneous (intradermal) tests with allergenic extracts, delayed type reaction, including reading, specify number of tests.’

3. Procedure

1. The provider injects the patient’s skin with a specific amount of allergenic extracts.
2. The application sites are usually on the patient’s back.
3. The patient returns after a few days for the provider to evaluate the delayed allergic response.
4. The provider measures and documents the reaction.
5. The provider specifies the number of tests performed.

4. Qualifying circumstances

CPT 95028 is used for patients who require intracutaneous tests with allergenic extracts to determine if they have a delayed allergic response. These tests are typically performed on the skin of the back. The patient must return to the office after a period of days for evaluation of the response. The number of tests performed should be specified.

5. When to use CPT code 95028

CPT code 95028 should be used when a provider performs intracutaneous tests with allergenic extracts to determine if a patient has a delayed allergic response. This code is appropriate when the tests are performed on the skin of the back and the patient returns for evaluation of the response after a period of days. The number of tests performed should be specified.

6. Documentation requirements

To support a claim for CPT 95028, the provider must document the following information:

• Patient’s need for intracutaneous tests with allergenic extracts
• Specific allergenic extracts used
• Date of the procedure
• Number of tests performed
• Measurement and documentation of the delayed allergic response
• Signature of the provider

7. Billing guidelines

When billing for CPT 95028, ensure that the procedure involves intracutaneous tests with allergenic extracts and that the delayed allergic response is evaluated after a period of days. Use the appropriate CPT code based on the number of tests performed. CPT code 95028 should not be reported with other codes unless necessary. It is important to consider the location and type of testing when coding for these procedures.

8. Historical information

CPT 95028 was added to the Current Procedural Terminology system on January 1, 1993. There have been no updates to the code since its addition.

9. Examples

1. A provider performs intracutaneous tests with allergenic extracts on a patient’s back to determine if they have a delayed allergic response to specific substances.
2. A patient returns to the office after a few days for evaluation of the delayed allergic response following intracutaneous tests with allergenic extracts.
3. A provider measures and documents the reaction to intracutaneous tests with allergenic extracts and specifies the number of tests performed.
4. A patient undergoes intracutaneous tests with allergenic extracts to determine if they have a delayed allergic response, and the provider evaluates the response after a period of days.
5. A provider performs intracutaneous tests with allergenic extracts and documents the results to aid in the diagnosis and treatment of the patient’s allergies.
6. An individual receives intracutaneous tests with allergenic extracts to identify the specific substances causing their delayed allergic response.
7. A provider performs intracutaneous tests with allergenic extracts on a patient’s back and measures the delayed allergic response to determine the severity of their allergies.
8. A patient undergoes intracutaneous tests with allergenic extracts to determine if they have a delayed allergic response to certain substances, and the provider documents the results for further analysis.
9. A provider performs intracutaneous tests with allergenic extracts on a patient’s back and specifies the number of tests performed to accurately bill for the procedure.
10. An individual returns to the office after a few days for evaluation of the delayed allergic response following intracutaneous tests with allergenic extracts, and the provider documents the results for future reference.