How To Use CPT Code 95147

CPT 95147 describes the professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, specifically three 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 95147?

CPT 95147 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 three 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 95147 is: ‘Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); three single stinging insect venoms.’

3. Procedure

1. The healthcare provider prepares low dose extracts of three single stinging insect venoms.
2. The extracts are administered via injection to the patient.
3. This process is repeated periodically and gradually to help the patient develop tolerance to the allergens and minimize allergic reactions.

4. Qualifying circumstances

CPT 95147 is used for patients who require allergen immunotherapy for three single stinging insect venoms. This may include patients who have severe allergic reactions to bee stings, wasp stings, or other similar insect venom. The healthcare provider must supervise the preparation and provision of the antigens for immunotherapy.

5. When to use CPT code 95147

CPT code 95147 should be used when a healthcare provider is involved in the supervision of preparation and provision of three single stinging insect venoms for allergen immunotherapy. This code should be used to report the professional services provided by the healthcare provider.

6. Documentation requirements

To support a claim for CPT 95147, the healthcare provider must document the following information:

• The specific number of doses prepared and administered
• The date and time of each administration
• The patient’s diagnosis and the need for allergen immunotherapy
• Any adverse reactions or side effects observed during the process
• Signature of the healthcare provider supervising the preparation and provision of the antigens

7. Billing guidelines

When billing for CPT 95147, ensure that the healthcare provider is supervising the preparation and provision of three single stinging insect venoms for allergen immunotherapy. This code should not be reported with other codes unless specifically instructed by the payer. It is important to follow the specific guidelines provided by the payer for accurate billing and reimbursement.

8. Historical information

CPT 95147 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 three single stinging insect venoms for a patient with severe allergic reactions to bee stings.
2. A physician overseeing the administration of low dose extracts of three single stinging insect venoms to a patient undergoing allergen immunotherapy.
3. A nurse monitoring the patient’s response to the injections of three single stinging insect venoms during an allergen immunotherapy session.
4. An allergist preparing and providing the antigens for immunotherapy, specifically three single stinging insect venoms, to a patient with a history of severe allergic reactions.
5. A healthcare provider documenting the number of doses prepared and administered for three single stinging insect venoms during an allergen immunotherapy session.
6. A physician supervising the gradual administration of three single stinging insect venoms to a patient to help them develop tolerance and minimize allergic reactions.
7. A nurse observing the patient for any adverse reactions or side effects during the administration of three single stinging insect venoms for allergen immunotherapy.
8. An allergist signing off on the preparation and provision of three single stinging insect venoms for a patient undergoing allergen immunotherapy.
9. A healthcare provider documenting the date and time of each administration of three single stinging insect venoms during an allergen immunotherapy session.
10. A physician explaining the process of allergen immunotherapy and the use of three single stinging insect venoms to a patient with severe allergies.