How To Use CPT Code 95149

CPT 95149 describes the professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, specifically for five 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 95149?

CPT 95149 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. This code specifically applies to the preparation and provision of five single stinging insect venoms for immunotherapy treatment.

2. Official Description

The official description of CPT code 95149 is: ‘Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 5 single stinging insect venoms.’

3. Procedure

1. The healthcare provider prepares a specified number of doses of extract of five single stinging insect venoms.
2. The provider administers the low dose extract 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 and minimize allergic reactions.
4. The injections are given over a period of time to decrease the patient’s sensitivity to the allergens and provide lasting relief of allergy symptoms.

4. Qualifying circumstances

CPT 95149 is applicable when a healthcare provider prepares and administers the extract of five single stinging insect venoms for allergen immunotherapy. This code is used for patients who require treatment to overcome or minimize allergic reactions to these specific venoms. The provider must specify the number of doses prepared and administered.

5. When to use CPT code 95149

CPT code 95149 should be used when a healthcare provider is supervising the preparation and provision of antigens for allergen immunotherapy, specifically for five single stinging insect venoms. This code is appropriate for patients who require treatment for allergies to these specific venoms. It should not be used for other types of allergen immunotherapy.

6. Documentation requirements

To support a claim for CPT 95149, the healthcare provider must document the following information:

• Number of doses prepared and administered
• Date and time of each administration
• Details of the patient’s allergy to the specific venoms
• Progress made by the patient during the course of treatment
• Signature of the healthcare provider supervising the preparation and provision of antigens

7. Billing guidelines

When billing for CPT 95149, ensure that the healthcare provider is supervising the preparation and provision of antigens for allergen immunotherapy, specifically for five single stinging insect venoms. This code should not be reported with other codes unless specified by the payer. It is important to follow the specific guidelines provided by the payer for accurate billing and reimbursement.

8. Historical information

CPT 95149 was added to the Current Procedural Terminology system on January 1, 1990. There have been a few changes to the code since its addition, including updates to the description and specification of the number of doses.

9. Examples

1. A healthcare provider supervising the preparation and provision of five single stinging insect venoms for allergen immunotherapy to a patient with severe allergic reactions to these venoms.
2. A provider administering the extract of five single stinging insect venoms via injection to a patient who has developed allergies to these specific venoms.
3. A healthcare professional overseeing the gradual administration of purified allergen extracts of five single stinging insect venoms to a patient to help them develop tolerance and minimize allergic reactions.
4. A provider preparing and administering the extract of five single stinging insect venoms for allergen immunotherapy to a patient who experiences severe symptoms upon exposure to these venoms.
5. A healthcare provider supervising the treatment of a patient with allergies to five single stinging insect venoms by preparing and administering the appropriate extract for immunotherapy.
6. A provider monitoring the progress of a patient receiving allergen immunotherapy for allergies to five single stinging insect venoms and adjusting the treatment plan accordingly.
7. A healthcare professional preparing and administering the extract of five single stinging insect venoms for allergen immunotherapy to a patient who has experienced severe allergic reactions to these venoms.
8. A provider supervising the gradual administration of purified allergen extracts of five single stinging insect venoms to a patient to help them develop tolerance and reduce their allergic reactions.
9. A healthcare provider overseeing the preparation and provision of antigens for allergen immunotherapy, specifically for five single stinging insect venoms, to a patient with allergies to these venoms.
10. A provider administering the extract of five single stinging insect venoms via injection to a patient who has developed allergies to these specific venoms and needs immunotherapy treatment.