E&M Visit with Allergy Injection

image_print

Question:  

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?

Answer:

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.