Allergy Injection Supervision Requirements



Does the physician have to be in the building when giving an allergy injection? Or can the allergy injection be supervised by physician assistant?


Medicare’s physician supervision guidelines for incident to billing require the billing provider to be physically present in the office suite whether it is a physician or physician assistant (or even a nurse practitioner for that matter). Medicare’s will reimburse at 100% of the physician fee schedule when a physician is the billing/supervising provider and at 85% of the physician allowable when the PA or NP is the billing/supervising provider. You’ll want to check with you other payors for their guidelines.