How To Use CPT Code 95148

CPT 95148 describes the professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, specifically for four 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 95148?

CPT 95148 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 four single stinging insect venoms. The 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 95148 is: ‘Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); four single stinging insect venoms.’

3. Procedure

1. The healthcare provider prepares a specified number of doses of extract of four single stinging insect venoms.
2. The provider administers the prepared extracts 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 provider monitors the patient’s response to the immunotherapy and adjusts the dosage as necessary.
5. The provider may also provide counseling and education to the patient regarding the immunotherapy process and any potential side effects.
6. Additional doses and monitoring sessions may be scheduled as needed to ensure the effectiveness of the immunotherapy.

4. Qualifying circumstances

CPT 95148 is used for patients who require allergen immunotherapy for four single stinging insect venoms. The patient must have a specific allergy to these venoms and be under the care of a healthcare provider who is qualified to administer the immunotherapy. The provider must prepare and administer the extracts in accordance with the appropriate guidelines and protocols.

5. When to use CPT code 95148

CPT code 95148 should be used when a healthcare provider is supervising the preparation and provision of antigens for allergen immunotherapy specifically for four single stinging insect venoms. This code should be used for each session in which the provider prepares and administers the extracts to the patient.

6. Documentation requirements

To support a claim for CPT 95148, the healthcare provider must document the following information:

• Specific number of doses prepared and administered
• Date and time of the immunotherapy session
• Details of the specific four single stinging insect venoms used
• Monitoring and adjustment of dosage, if applicable
• Counseling and education provided to the patient
• Signature of the healthcare provider supervising the immunotherapy

7. Billing guidelines

When billing for CPT 95148, ensure that the healthcare provider is supervising the preparation and provision of antigens for allergen immunotherapy specifically for four single stinging insect venoms. There are no specific guidelines regarding reporting this code with other codes. However, it is important to follow the appropriate coding and billing guidelines provided by the payer.

8. Historical information

CPT 95148 was added to the Current Procedural Terminology system on January 1, 1990. There have been two code changes since its addition, with the most recent change occurring on January 1, 2009.

9. Examples

1. A healthcare provider prepares and administers low dose extracts of four single stinging insect venoms to a patient with specific allergies to these venoms.
2. A patient undergoes allergen immunotherapy for four single stinging insect venoms under the supervision of a healthcare provider.
3. A healthcare provider monitors and adjusts the dosage of allergen extracts for a patient receiving immunotherapy for four single stinging insect venoms.
4. A patient receives counseling and education on the immunotherapy process and potential side effects for four single stinging insect venoms from a healthcare provider.
5. A healthcare provider schedules additional sessions for a patient to receive immunotherapy for four single stinging insect venoms based on their response and progress.