LAC 40:I.5129. Allergy and Clinical Immunology

A. Procedure Codes 95004-95199 must be billed for allergy testing and allergy immunotherapy. B. When billing for allergy tests, enter the appropriate CPT procedure code in Item 24-D of the HCFA 1500 Form. 1. Enter the total number of tests performed in Item 24-G. 2. Enter the total amount charged for the procedure code in Item 24-F. 3. Allergy skin testing is reimbursed on a per test basis. C. When billing for test where antigens are specified in the descriptor, the appropriate procedure code must be entered in Item 24. 1. Enter the total number of antigens in Item 24-G. 2. Enter the provider's usual total charge in Item 24-F. 3. Reimbursement is based on a per antigen basis.