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The CPT® Code 95148 refers to professional services involved in the supervision of the preparation and provision of antigens specifically for allergen immunotherapy, focusing on four single stinging insect venoms. This procedure is typically performed by an allergist or a qualified healthcare provider who oversees the formulation of multiple dose vials containing the appropriate antigens derived from stinging insects. The process begins with allergy testing, which is separately reportable, to determine the specific allergens to which the patient is sensitive. Based on these test results, the allergist prepares the correct dosage of the antigens, which are then supplied in multiple dose vials. Each vial is designed to provide a specific number of injections, allowing for a structured immunotherapy regimen. The allergist usually administers the initial dose in a controlled setting to monitor the patient for any adverse reactions, after which the patient can take the remaining vials for subsequent doses, which may be administered by another healthcare provider. This coding structure 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 of the immunotherapy process.
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The procedure associated with CPT® Code 95148 is indicated for patients who have been diagnosed with allergies to multiple stinging insect venoms. These indications may include:
The procedure for CPT® Code 95148 involves several key steps, which are detailed as follows:
Post-procedure care for patients receiving allergen immunotherapy with CPT® Code 95148 includes monitoring for any delayed allergic reactions following the initial dose. Patients are typically advised to observe for symptoms such as swelling, hives, or difficulty breathing. It is also important for patients to follow the prescribed schedule for administering the remaining doses from the multiple dose vials. Regular follow-up appointments with the allergist may be necessary to assess the effectiveness of the immunotherapy and make any adjustments to the treatment plan as needed. Additionally, patients should be educated on the importance of carrying an epinephrine auto-injector in case of severe allergic reactions, especially if they have a history of anaphylaxis.
| Short Descr | ANTIGEN THERAPY SERVICES | Medium Descr | PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT | Long Descr | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 4 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. | 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. | CR | Catastrophe/disaster related | 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | GC | This service has been performed in part by a resident under the direction of a teaching physician | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | GZ | Item or service expected to be denied as not reasonable and necessary | RT | Right side (used to identify procedures performed on the right side of the body) | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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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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