How To Use CPT Code 95170

CPT 95170 describes the professional services for the supervision of preparation and provision of antigens for allergen immunotherapy using a whole body extract of biting insect or other arthropod. 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 95170?

CPT 95170 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 when a whole body extract of biting insect or other arthropod is used for the immunotherapy. The code represents the professional services involved in mixing and preparing a specified number of doses of the antigen for injection.

2. Official Description

The official description of CPT code 95170 is: ‘Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole body extract of biting insect or other arthropod (specify number of doses).’ This code is used when the healthcare provider prepares the whole body extract of the biting insect or other arthropod to be administered via injection to the patient.

3. Procedure

1. The healthcare provider prepares the whole body extract of the biting insect or other arthropod.
2. The extract is administered to the patient via injection.
3. The healthcare provider supervises the preparation and provision of the antigen, ensuring the correct dosage and administration.
4. The patient may receive multiple doses of the antigen, depending on their specific treatment plan.
5. The healthcare provider monitors the patient’s response to the immunotherapy and adjusts the treatment as necessary.

4. Qualifying circumstances

CPT 95170 is used for patients who require allergen immunotherapy using a whole body extract of biting insect or other arthropod. This treatment is typically used for individuals who have allergies to these specific allergens. The healthcare provider must supervise the preparation and provision of the antigen, ensuring the correct dosage and administration. The number of doses administered should be specified when reporting this code.

5. When to use CPT code 95170

CPT code 95170 should be used when a healthcare provider is providing professional services for the supervision of preparation and provision of antigens for allergen immunotherapy using a whole body extract of biting insect or other arthropod. This code is specific to the use of whole body extracts and should not be used for other types of allergen immunotherapy.

6. Documentation requirements

To support a claim for CPT 95170, the healthcare provider must document the following information:

• Specific number of doses prepared and administered
• Date and time of the administration
• Details of the whole body extract used
• Monitoring and adjustment of the treatment plan, if applicable
• Signature of the healthcare provider supervising the preparation and provision of the antigen

7. Billing guidelines

When billing for CPT 95170, ensure that the healthcare provider is providing the professional services for the supervision of preparation and provision of antigens for allergen immunotherapy using a whole body extract of biting insect or other arthropod. 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 95170 was added to the Current Procedural Terminology system on January 1, 1990. There was a code change on January 1, 2002, which updated the description to include the specification of the number of doses.

9. Examples

1. A healthcare provider prepares and administers a whole body extract of a biting insect to a patient for allergen immunotherapy.
2. A patient receives multiple doses of a whole body extract of an arthropod under the supervision of a healthcare provider for allergen immunotherapy.
3. A healthcare provider prepares and administers a whole body extract of a biting insect to a patient, specifying the number of doses, for allergen immunotherapy.
4. A patient undergoes allergen immunotherapy using a whole body extract of an arthropod, with the healthcare provider monitoring and adjusting the treatment plan as necessary.
5. A healthcare provider supervises the preparation and provision of a whole body extract of a biting insect to a patient, ensuring the correct dosage and administration for allergen immunotherapy.
6. A patient receives allergen immunotherapy using a whole body extract of an arthropod, with the healthcare provider documenting the specific number of doses administered.
7. A healthcare provider prepares and administers a whole body extract of a biting insect to a patient, monitoring their response to the immunotherapy and adjusting the treatment plan accordingly.
8. A patient undergoes allergen immunotherapy using a whole body extract of an arthropod, with the healthcare provider documenting the date and time of each administration.
9. A healthcare provider supervises the preparation and provision of a whole body extract of a biting insect to a patient, ensuring the correct dosage and administration for allergen immunotherapy.
10. A patient receives multiple doses of a whole body extract of an arthropod under the supervision of a healthcare provider, who signs off on the treatment plan for allergen immunotherapy.