E&M Visit with Allergy Injection



Can I bill for both the 99211 and “95117 – Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections” – codes when the patient comes for their weekly allergy injection?


If the purpose of the visit is to provide the allergy injection then report only the code for the allergy injection (e.g., 95115, 95117). If you provide a significantly, separately identifiable E&M service then you may separately report that with 9921x and append modifier 25 to the E&M code. Be sure you have good documentation of the separate E&M service and can support the medical necessity of this additional charge.