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 95199
Related Codes Table
| Code | Description |
|---|---|
| 95004 | Percutaneous tests (scratch, puncture, prick) with allergenic extracts for inhalants or food, immediate type reaction, including test interpretation and report by a physician, specify number of tests |
| 95024 | Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and report by a physician, specify number of tests |
| 95027 | Tests for identification of allergen-specific IgE; qualitative or semiquantitative, single allergen |
| 95044 | Patch or application test(s) (specify number of tests) |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses) |
Commonly Billed With
CPT code 95199 is commonly billed with CPT codes 95004 and 95027 for comprehensive allergy testing.
Clinical Scenarios
Allergic Rhinitis Evaluation:
A patient presents with symptoms of allergic rhinitis. CPT code 95199 may be used to evaluate the specific allergens causing the symptoms.
Suspected Food Allergy:
A child with suspected food allergies undergoes comprehensive allergy testing using CPT code 95199 to identify the specific food triggers.
Anaphylaxis Workup:
In cases of severe allergic reactions like anaphylaxis, CPT code 95199 can be utilized to determine the causative allergen.
FAQ
Can CPT 95199 be used for routine allergy testing?
No, CPT 95199 is specifically for unlisted allergy/clinical immunologic services or procedures that do not have a more specific code available.
Is prior authorization required for billing CPT 95199?
Prior authorization requirements may vary by insurance provider. It is recommended to check with the payer before performing the service.
How should documentation support billing of CPT 95199?
Documentation should clearly describe the unlisted allergy/clinical immunologic service or procedure performed and the medical necessity for using this unlisted code.
Are there any bundling issues to consider when billing CPT 95199?
It is important to review payer policies and coding guidelines to avoid potential bundling issues when billing CPT 95199 with other services.
Can modifiers be used with CPT 95199?
Modifiers may be necessary to provide additional information about the service rendered when using CPT code 95199. Proper documentation is essential when applying modifiers.
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