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The CPT® Code 95147 refers to professional services involved in the supervision of the preparation and provision of antigens specifically for allergen immunotherapy, focusing on three single stinging insect venoms. This procedure is typically performed by an allergist or a qualified supplier who is responsible for preparing or overseeing the preparation of multiple dose vials containing the necessary antigens derived from stinging insects. The antigens are formulated based on the results obtained from allergy testing services, which are reported separately. The formulation process ensures that the correct dosage of the stinging insect allergens is prepared for the patient, allowing for effective immunotherapy. Each multiple dose vial is designed to provide a specific number of injections, which are essential for the patient's treatment regimen. The allergist usually administers the initial dose of the antigen and monitors the patient for any adverse reactions. Following this initial administration, the patient is given the multiple dose vials, and subsequent doses are administered by another healthcare provider. This coding system allows for precise reporting of the number of venoms prepared, with specific codes assigned for varying quantities of stinging insect venoms, ensuring accurate billing and documentation in the context of allergen immunotherapy.
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The procedure associated with CPT® Code 95147 is indicated for patients who require allergen immunotherapy specifically targeting stinging insect venoms. This therapy is typically recommended for individuals who have a confirmed allergy to one or more stinging insects, which may include bees, wasps, or hornets. The indications for this procedure may include:
The procedure for CPT® Code 95147 involves several key steps to ensure the safe and effective preparation of antigens for allergen immunotherapy. The steps are as follows:
Post-procedure care following the administration of the initial dose of antigens is essential for patient safety. The patient is typically monitored for any adverse effects immediately after the first injection. It is important for the patient to be educated on recognizing signs of allergic reactions and to have a plan in place for seeking immediate medical attention if necessary. The patient will continue with the remaining doses as prescribed, which are administered using the multiple dose vials provided. Follow-up appointments may be scheduled to assess the patient's response to the immunotherapy and to make any necessary adjustments to the treatment plan.
| Short Descr | ANTIGEN THERAPY SERVICES | Medium Descr | PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT | Long Descr | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 3 single stinging insect venoms | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | M5D - Specialist - other | MUE | 10 | CCS Clinical Classification | 228 - Prophylactic vaccinations and inoculations |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | CR | Catastrophe/disaster related | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area |
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| 2013-01-01 | Changed | Medium Descriptor changed. |
| 2011-01-01 | Changed | Medium description changed. |
| 2009-01-01 | Changed | Code description changed |
| 2002-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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