Allergy Medical Billing &
Credentialing Services

Allergy Medical Billing & Credentialing ServicesAllergy practices deal with a complex coding structure involving skin tests, serum preparation, and allergen immunotherapy. At Oakview, we understand the billing intricacies for allergists and ENTs, especially when combining diagnostic testing with ongoing injections and evaluations.

From CPT rules on multi-dose vials to bundling issues with 95165 and 95004, our team ensures claims are accurate, supported by documentation, and paid on time.

Key Allergy Billing Challenges

-CPT confusion for skin testing (per allergen vs. per encounter)
-Denials due to improper sequencing of 95165 (antigen preparation)
-Split billing errors between serum prep and administration
-Frequency limitations on testing and injections
-Poor documentation of patient response and necessity for continuation

Our Allergy Billing Services Include:

Detailed coding support for:
• 95004 – Percutaneous scratch test (per allergen)
• 95024 – Intradermal test (per allergen)
• 95115 – Single injection immunotherapy
• 95165 – Preparation of allergenic extracts
-Help with coding combinations and units per vial
-Modifier use when billing E/M with allergy testing (e.g., 25)
-Payer-specific credentialing for allergists and ENT subspecialties
-Custom templates for documenting skin test results
-Monthly reporting on denials, trends, and revenue leakage