Article Overview

This article addresses whether routine nursing activities performed before and after allergen immunotherapy injections are bundled into the injection service, and when a separately reported evaluation and management service may be considered. It is aimed at coders, billing staff, nurses, and clinicians who need to understand how documentation and service content affect reporting for office/outpatient E/M services alongside allergen immunotherapy. The discussion focuses on general coding concepts, the scope of routine versus separately identifiable care, and the documentation support expected when additional E/M reporting is considered.