tci E/M Coding Alert - 2023 Issue Q3

Reader Questions: Know When an E/M Code Is Unnecessary

Question: When a patient undergoes intradermal dilutional testing, should we report 95027 by antigen or per dilution (test or stick)? Massachusetts Subscriber Answer: CPT® code 95027 (Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens, immediate type reaction, including test  interpretation and report, specify number of tests) describes when the provider introduces sequential and incremental airborne allergenic extracts into the skin to determine if the patient has an immediate allergic response. The intradermal testing described by code 95027 may employ four or five dilutions of increasing concentration. You should report 95027 based on the number of...

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