CPT Code Lookup Tool
Use this free CPT Lookup Tool to search for Current Procedural Terminology (CPT) codes, descriptions, and related details — designed to help streamline and simplify your medical billing process.
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Office or other outpatient visit
Evaluation and management of an established patient...
Information
This code is for use in medical billing and coding.
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This code is part of the section of CPT codes.
Office or other outpatient visit for the evaluation and management...
Note
This description reflects the 2021 E/M coding guidelines.
Information
codes are used to report evaluation and management services provided in various settings.
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RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.
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This code is commonly used by primary care providers, but may be used by any specialty providing office visits.
Significant, separately identifiable E/M service
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Modifiers provide additional information about the service provided.
Detail About CPT 95115
Related Codes Table
| CPT Code | Description |
|---|---|
| 95117 | Allergen immunotherapy; two or more injections |
| 95120 | Professional services for allergen immunotherapy not including provision of allergenic extracts; two or more injections |
| 95004 | Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report by a physician, specify number of tests |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single injection |
| 95170 | Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection when performed by physician other than the prescribing physician |
Commonly Billed With
CPT 95115 is commonly billed with evaluation and management codes such as 99213 (office or other outpatient visit for an established patient, level 3).
Clinical Scenarios
Allergy Clinic Visit:
A patient presents to the allergy clinic for a single allergen immunotherapy injection (CPT 95115) due to allergic rhinitis symptoms.
Frequent Allergic Reactions:
In cases where a patient experiences frequent allergic reactions despite medication management, CPT 95115 may be performed to help desensitize the patient to specific allergens.
Monitoring Response:
After receiving multiple injections as part of allergen immunotherapy, CPT 95115 may be used periodically to monitor the patient's response to treatment.
FAQ Section
What is the typical duration of a visit for CPT 95115?
The visit duration for CPT 95115 can vary but typically lasts around 30 minutes.
Can CPT 95115 be performed in conjunction with other allergy testing procedures?
Yes, CPT 95115 can be performed along with other allergy testing procedures if medically necessary.
Is prior authorization required for CPT 95115?
Prior authorization requirements may vary depending on the insurance provider. It is recommended to check with the payer before performing the procedure.
Are there any age restrictions for CPT 95115?
CPT 95115 can be performed on patients of various ages, depending on their clinical indication and need for allergen immunotherapy.
How often can CPT 95115 be repeated?
The frequency of repeating CPT 95115 injections should be determined based on the patient's response to treatment and clinical guidelines.
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