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Billing and Coding: Allergy Immunotherapy
A56424
Effective: October 1, 2025
Updated: December 6, 2025
Policy Summary
Medicare allows component billing for allergy immunotherapy (use antigen preparation codes CPT 95145‑95170, professional administration CPT 95115‑95117, and CPT 95144 for preparation/provision of single‑dose vials) but does NOT cover complete‑service codes CPT 95120‑95134. Key requirements: bill only one CPT 95115 or 95117 per date of service with 1 unit in Box 24‑G, do not report 95115 and 95117 together or for self‑administered antigens, and note CPT 95165 may include single or multiple antigens.
Covered Medical Codes
This policy references 112 medical codes
12
HCPCS
100
ICD-10-CM
Sample Codes
95115