How To Use CPT Code 95145

CPT 95145 describes the professional services for the supervision and provision of antigens for allergen immunotherapy, specifically for a single stinging insect venom. 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 95145?

CPT 95145 can be used to describe the professional services provided by a healthcare provider for the preparation and provision of antigens for allergen immunotherapy. This code specifically applies to the preparation of a specified number of doses of extract for a single stinging insect venom. The provider prepares a low dose extract of the venom to be administered via injection to the patient at a later time.

2. Official Description

The official description of CPT code 95145 is: ‘Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); single stinging insect venom.’

3. Procedure

1. The healthcare provider prepares a specified number of doses of extract for a single stinging insect venom.
2. The extract is prepared in a low dose to be administered via injection to the patient at a later time.
3. The preparation process involves ensuring the accuracy and safety of the extract.
4. The provider follows specific guidelines and protocols for the preparation of the extract.
5. The prepared extract is labeled and stored appropriately for future use.

4. Qualifying circumstances

CPT 95145 is applicable when a healthcare provider prepares and supervises the provision of antigens for allergen immunotherapy for a single stinging insect venom. This code is used for patients who require immunotherapy to overcome or minimize allergic reactions to the venom. The provider must specify the number of doses prepared and ensure the accuracy and safety of the extract.

5. When to use CPT code 95145

CPT code 95145 should be used when a healthcare provider is involved in the preparation and supervision of antigens for allergen immunotherapy for a single stinging insect venom. This code is not appropriate for other types of allergen immunotherapy or for multiple venoms. It is important to accurately specify the number of doses prepared.

6. Documentation requirements

To support a claim for CPT 95145, the healthcare provider must document the following information:

• The specific venom for which the extract is prepared
• The number of doses prepared
• The date of preparation
• Any specific guidelines or protocols followed during the preparation process
• Labeling and storage information for the prepared extract
• Signature of the healthcare provider supervising the preparation

7. Billing guidelines

When billing for CPT 95145, ensure that the healthcare provider is involved in the supervision and provision of antigens for allergen immunotherapy for a single stinging insect venom. It is important to accurately specify the number of doses prepared. CPT code 95145 should not be reported with other codes unless there are specific circumstances that warrant additional reporting. It is recommended to review the specific guidelines and requirements of the payer when submitting claims for CPT 95145.

8. Historical information

CPT 95145 was added to the Current Procedural Terminology system on January 1, 1990. There was a code change on January 1, 2002, which modified the description to include the term ‘professional services’.

9. Examples

1. A healthcare provider prepares three doses of extract for a single stinging insect venom for a patient who requires allergen immunotherapy.
2. A provider supervises the preparation of a low dose extract of a single stinging insect venom for a patient who has experienced severe allergic reactions to the venom.
3. A healthcare professional prepares five doses of extract for a single stinging insect venom for a patient who requires ongoing immunotherapy.
4. A provider prepares a specified number of doses of extract for a single stinging insect venom for a patient who is highly allergic to the venom.
5. A healthcare provider supervises the preparation of a low dose extract of a single stinging insect venom for a patient who will undergo allergen immunotherapy.
6. A provider prepares two doses of extract for a single stinging insect venom for a patient who has developed an allergy to the venom.
7. A healthcare professional prepares a specified number of doses of extract for a single stinging insect venom for a patient who requires long-term immunotherapy.
8. A provider supervises the preparation of a low dose extract of a single stinging insect venom for a patient who has experienced anaphylaxis due to the venom.
9. A healthcare provider prepares four doses of extract for a single stinging insect venom for a patient who requires desensitization therapy.
10. A provider prepares a specified number of doses of extract for a single stinging insect venom for a patient who will be traveling to an area where the venomous insect is prevalent.