How To Use CPT Code 95132

CPT 95132 describes the professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified healthcare professional, including the provision of allergenic extract for three stinging insect venoms. 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 95132?

CPT 95132 can be used to describe the professional services provided by a healthcare professional for allergen immunotherapy in the office or institution of the prescribing physician. This code specifically includes the provision of allergenic extract for three stinging insect venoms. It is used when a patient allergic to the sting of these insects receives injections to treat or prevent a reaction.

2. Official Description

The official description of CPT code 95132 is: ‘Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified healthcare professional, including provision of allergenic extract; 3 stinging insect venoms.’

3. Procedure

1. The patient is appropriately prepped for the procedure.
2. The healthcare professional injects the patient with an allergenic extract for desensitization to the venom of three types of stinging insects.

4. Qualifying circumstances

CPT 95132 is used for patients who are allergic to the sting of three specific types of insects and require allergen immunotherapy. The procedure must be performed in the office or institution of the prescribing physician or other qualified healthcare professional. The healthcare professional must provide the allergenic extract for the three stinging insect venoms.

5. When to use CPT code 95132

CPT code 95132 should be used when a patient receives allergen immunotherapy for three stinging insect venoms in the office or institution of the prescribing physician or other qualified healthcare professional. It should not be used for other types of allergen immunotherapy or for a different number of stinging insect venoms.

6. Documentation requirements

To support a claim for CPT 95132, the healthcare professional must document the following information:

• Patient’s diagnosis of allergy to the three specific stinging insect venoms
• Date of the procedure
• Details of the allergenic extract provided
• Signature of the prescribing physician or other qualified healthcare professional

7. Billing guidelines

When billing for CPT 95132, ensure that the procedure is performed in the office or institution of the prescribing physician or other qualified healthcare professional. The code includes the provision of allergenic extract for three stinging insect venoms. If the preparation of the allergen extract is performed by someone other than the provider who administers the injection, separate codes should be used. It is important to follow the specific guidelines and tips provided by the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT 95132 was added to the Current Procedural Terminology system on January 1, 1990. There have been historical changes to the code, including updates to the description and inclusion of specific allergenic extracts for three stinging insect venoms.

9. Examples

1. A patient visits the office of a prescribing physician for allergen immunotherapy for three stinging insect venoms.
2. A qualified healthcare professional administers allergen immunotherapy for three specific stinging insect venoms in the institution where they practice.
3. A patient receives allergen immunotherapy for three stinging insect venoms in the office of a qualified healthcare professional.
4. A prescribing physician provides allergen immunotherapy for three specific stinging insect venoms in their office.
5. A qualified healthcare professional administers allergen immunotherapy for three stinging insect venoms in the institution where they work.
6. A patient undergoes allergen immunotherapy for three specific stinging insect venoms in the office of a prescribing physician.
7. A qualified healthcare professional provides allergen immunotherapy for three stinging insect venoms in the institution where they are employed.
8. A patient receives allergen immunotherapy for three specific stinging insect venoms in the office of a qualified healthcare professional.
9. A prescribing physician administers allergen immunotherapy for three stinging insect venoms in their office.
10. A qualified healthcare professional provides allergen immunotherapy for three specific stinging insect venoms in the institution where they practice.