Allergy & Immunology Medical Billing & Credentialing Services

Allergy & Immunology is a highly specialized field that deals with diagnosing, treating, and managing allergic conditions, asthma, and immune system disorders. These services often involve a mix of consultations, diagnostic testing, immunotherapy injections, and ongoing chronic care management — each with its own billing complexities.

At Oakview Medical Billing Solutions, we understand the nuanced coding and payer rules unique to Allergy & Immunology. Our credentialing and billing experts streamline the revenue cycle so you can focus on what truly matters: delivering care to your patients.

Specialty-Specific Billing Challenges

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Billing for allergy and immunology services involves a wide range of CPT and HCPCS codes, modifier usage, and strict documentation requirements. Some of the key challenges include:

• Multiple Procedures per Visit: Skin testing, pulmonary function tests, and immunotherapy injections often occur in a single encounter.

• llergy Testing Complexity: Proper use of codes like 95004, 95024, and 95165 require detailed documentation and precise code selection.

• Injection Preparation Billing: Each vial prepared for immunotherapy is billable separately, but must follow frequency and batching rules set by payers.

• Split Billing Issues: Office visits (E/M) combined with testing or injections must meet medical necessity and modifier rules (e.g., -25, -59).

• High Audit Risk: Due to frequent payer scrutiny around allergy testing and treatments, error-free documentation and clean claims are critical.