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Allergen immunotherapy, as described by CPT® Code 95132, is a specialized treatment aimed at managing allergies specifically related to stinging insects, which include bees, wasps, hornets, and yellow jackets. This therapeutic approach is designed to desensitize individuals to these allergens, thereby reducing the severity of allergic reactions upon exposure. The process begins with allergy testing, which is conducted separately to identify the specific stinging insect allergen(s) that trigger the patient's allergic responses. Once the allergens are identified, a tailored immunotherapy schedule is established, consisting of two distinct phases: the build-up phase and the maintenance phase. During the build-up phase, patients receive progressively increasing doses of the allergenic extract(s) through injections, typically administered in the upper arm, with frequency ranging from one to three times per week. This phase generally spans a duration of 3 to 6 months. Following the build-up phase, patients transition to the maintenance phase, which involves monthly injections that can continue for an extended period of 3 to 5 years. The allergenic extract utilized in this therapy is prepared and provided by the physician or another qualified healthcare professional, ensuring that the treatment is both safe and effective. For billing purposes, CPT® Code 95132 specifically applies to the administration of allergen immunotherapy involving three stinging insect venoms, with additional codes available for varying numbers of venoms administered.
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