Full Allergy Testing and How to Bill for It

Event Information
Product Format
Prerecorded Event
Jennifer Godreau, CPC, CPMA, COPC, CPEDC, AHIMA-Approved ICD-10-CM/PCS Trainer
Conference Date
Fri, Oct 16, 2009
60 Minutes
Product Description

Avoid modifier 25 scrutiny when coding for Allergy E/M services.

Billing for skin tests, intradermal, and in vitro allergy testing comes with complications - including allowed limits, combinations, units, and same-day E/M services.

Join coding expert, Jennifer Godreau, BA, CPC, CPEDC, for this 1-hour audio event where she will show you some of the intricacies of dealing with common pitfalls associated with injections including when is a nurse visit allowed and what counts as a 95165 dose.

PLUS: Jennifer will provide you with a flow chart to pin-down the correct allergy testing code based on method, allergen, and when appropriate reaction type; AND scenarios that drill in correct unit counting to avoid under/over-coding.

Here's what you will learn:

  • Which of these items can you bill separately:
    • Pre allergy tests positive and negative test,
    • test interpretation,
    • physician report,
    • E/M
  • Zoom in on what counts as a 95165 dose - Medicare’s calculation is different from CPT’s definition.
  • Green light E/M-25 + test when you meet these criteria.
  • Get the right units to capture all allowed tests without overbilling – these prick, puncture, stick definitions show you how.
  • Adhere to 95004, 95024, 95027, and 86003 limits – or trigger MUE denials.
  • Case studies that leave no unit, or service unclaimed without making your practice an audit statistic.
  • BONUS: This flowchart pins-down the right allergy testing code: just answer these questions.

Who should attend? Billers, coders and physician who deal with allergy tests and claims.

Order Below or Call 866-458-2965 Today

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About Our Speaker

Jennifer Godreau - Medical Modifiers Coding Expert


Jen Godreau, CPC, CPMA, COPC, CPEDC, AHIMA-Approved ICD-10-CM/PCS Trainer specializes in medical coding, billing and compliance for pediatrics, ophthalmology, optometry, family practice and otolaryngology, including allergy and audiology. As vice president of programs for Eye Care Leaders and Visionaries, she brings best-of-industry eye care solutions to healthcare practices. Top industry thought leaders turn to her members-only Eye Care Visionaries program for advance practice management and leadership content, events...   More Info
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