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.
Information
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.
Information
RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.
Information
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
Information
Modifiers provide additional information about the service provided.
Detail About CPT 95165
Related Codes Table
| Code | Description |
|---|---|
| 95115 | Professional services for allergen immunotherapy not including provision of antigens; single injection |
| 95117 | Professional services for allergen immunotherapy not including provision of antigens; two or more injections |
| 95144 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses) |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy |
| 95170 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single stinging insect venom (specify venom) |
Commonly Billed With
CPT code 95165 is commonly billed with CPT codes 95115, 95117, and 95144 for comprehensive allergen immunotherapy services.
Clinical Scenarios
Allergy Clinic Visit:
In an allergy clinic visit, CPT code 95165 may be used when a healthcare provider supervises the preparation and provision of antigens for allergen immunotherapy.
Allergic Reaction Management:
If a patient experiences an allergic reaction during immunotherapy, additional evaluation and management services may be provided along with CPT code 95165.
Treatment Plan Adjustment:
CPT code 95165 can be used when adjusting the treatment plan based on the patient's response to allergen immunotherapy.
FAQ
What does CPT code 95165 represent?
CPT code 95165 represents professional services for the supervision of preparation and provision of antigens for allergen immunotherapy.
Can CPT code 95165 be billed separately?
Yes, CPT code 95165 can be billed separately when the provider performs the supervision services distinct from other procedures.
Is prior authorization required for CPT code 95165?
Prior authorization requirements may vary by insurance carrier, so it is recommended to check with the specific payer.
How often can CPT code 95165 be reported?
CPT code 95165 can be reported each time a provider supervises the preparation and provision of antigens for allergen immunotherapy.
Are there any specific documentation requirements for reporting CPT code 95165?
Providers should document the supervision of antigen preparation and provision in detail to support billing with CPT code 95165.
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