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The rapid desensitization procedure, as denoted by CPT® Code 95180, is a critical medical intervention designed for patients who have previously experienced hypersensitivity reactions to essential or life-saving medications, such as insulin, penicillin, or equine serum. This procedure is particularly important in situations where the administration of these drugs is necessary for the patient's health and well-being. The process of desensitization involves the careful and controlled administration of the drug in progressively larger doses, starting from a very small initial dose, which can be as minimal as one ten-thousandth of the target dose. This gradual increase in dosage is performed over a series of hours, allowing the patient's immune system to adjust and tolerate the medication without triggering a hypersensitivity response. Throughout the procedure, the patient is closely monitored for any adverse effects, ensuring immediate intervention if necessary. Additionally, the physician is responsible for documenting the entire process in a written report, which serves as a record of the procedure and the patient's response to the desensitization efforts.
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The rapid desensitization procedure is indicated for patients who have a documented history of hypersensitivity reactions to essential medications. These indications include:
The rapid desensitization procedure consists of several critical steps that must be followed to ensure patient safety and efficacy of the treatment. These steps include:
After the rapid desensitization procedure, patients may require continued monitoring for a specified period to ensure that no delayed allergic reactions occur. It is important for healthcare providers to observe the patient for any signs of adverse effects following the procedure. Additionally, patients may be advised on the importance of carrying emergency medication, such as antihistamines or epinephrine, in case of future allergic reactions. Follow-up appointments may also be necessary to assess the patient's ongoing tolerance to the medication and to manage any potential side effects.
| Short Descr | RAPID DESENSITIZATION | Medium Descr | RAPID DESENSITIZATION PROCEDURE EACH HOUR | Long Descr | Rapid desensitization procedure, each hour (eg, insulin, penicillin, equine serum) | 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 | 6 | CCS Clinical Classification | 231 - Other therapeutic procedures |
| 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. | GC | This service has been performed in part by a resident under the direction of a teaching physician | GZ | Item or service expected to be denied as not reasonable and necessary | 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. | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | KX | Requirements specified in the medical policy have been met | 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 | U7 | Medicaid level of care 7, as defined by each state | 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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| 2002-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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