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Billing and Coding: Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT)
A59978
Updated: December 6, 2025
Policy Summary
Covers CPT 95165 for the physician’s preparation and provision of allergen antigen extracts (non‑venom) including concentration/volume calculations, but excludes the administration of the immunotherapy. Key requirements: the number of doses must be specified and reported by antigen type, vial source is irrelevant, and billing is limited to a maximum of 10 doses per multidose vial (PE based on a 10‑cc vial).
Covered Medical Codes
This policy references 31 medical codes
5
HCPCS
26
ICD-10-CM
Sample Codes
95115Immunotherapy one injection