How To Use CPT Code 95146

CPT 95146 describes the professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, specifically two single 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 95146?

CPT 95146 can be used to describe the professional services provided by a healthcare provider for the supervision of preparation and provision of antigens for allergen immunotherapy. Specifically, this code is used for the preparation and provision of two single stinging insect venoms for immunotherapy. The healthcare provider prepares low dose extracts of these venoms to be administered via injection to the patient.

2. Official Description

The official description of CPT code 95146 is: ‘Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); two single stinging insect venoms.’

3. Procedure

1. The healthcare provider prepares a specified number of doses of extract of two single stinging insect venoms.
2. The extracts are administered via injection to the patient.
3. Allergen immunotherapy involves the periodic, gradual administration of purified allergen extracts via injection to help the patient develop tolerance to the allergens with fewer or no symptoms.
4. The healthcare provider supervises the preparation and provision of the antigens, ensuring the correct dosage and administration.
5. The patient may receive multiple doses over a period of time, as determined by the healthcare provider.

4. Qualifying circumstances

CPT 95146 is used for patients who require allergen immunotherapy for two single stinging insect venoms. This may be necessary for individuals who have severe allergic reactions to these specific venoms. The healthcare provider must supervise the preparation and provision of the antigens, ensuring the correct dosage and administration.

5. When to use CPT code 95146

CPT code 95146 should be used when a healthcare provider is providing professional services for the supervision of preparation and provision of two single stinging insect venoms for allergen immunotherapy. This code should be used to report the specific services provided for these venoms.

6. Documentation requirements

To support a claim for CPT 95146, the healthcare provider must document the following information:

• Number of doses prepared and administered
• Date and time of each administration
• Details of the specific venoms used
• Supervision and involvement of the healthcare provider
• Any additional relevant information or notes

7. Billing guidelines

When billing for CPT 95146, ensure that the healthcare provider is providing the professional services for the supervision of preparation and provision of two single stinging insect venoms. This code should be reported for each administration of the antigens. It is important to follow any specific billing guidelines provided by the payer or insurance company.

8. Historical information

CPT 95146 was added to the Current Procedural Terminology system on January 1, 1990. There have been a few changes to the code over the years, including updates to the official description and the addition of specific notes.

9. Examples

1. A healthcare provider supervising the preparation and provision of two single stinging insect venoms for allergen immunotherapy for a patient with severe allergic reactions to these venoms.
2. A patient receiving injections of two single stinging insect venoms under the supervision of a healthcare provider for allergen immunotherapy.
3. A healthcare provider preparing and administering low dose extracts of two single stinging insect venoms for a patient undergoing allergen immunotherapy.
4. A patient receiving periodic injections of two single stinging insect venoms to develop tolerance under the supervision of a healthcare provider.
5. A healthcare provider monitoring the administration of two single stinging insect venoms for allergen immunotherapy to ensure the correct dosage and administration.
6. A patient receiving multiple doses of two single stinging insect venoms over a period of time, with the healthcare provider supervising the preparation and provision of the antigens.
7. A healthcare provider preparing and administering extracts of two single stinging insect venoms for a patient with severe allergic reactions to these specific venoms.
8. A patient undergoing allergen immunotherapy for two single stinging insect venoms, with the healthcare provider overseeing the preparation and provision of the antigens.
9. A healthcare provider supervising the administration of two single stinging insect venoms to a patient to help develop tolerance to these allergens.
10. A patient receiving injections of two single stinging insect venoms for allergen immunotherapy, with the healthcare provider ensuring the correct dosage and administration.