La. Admin. Code tit. 40 § I-5129

Current through Register Vol. 50, No. 11, November 20, 2024

Section 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.

La. Admin. Code tit. 40, § I-5129

Promulgated by the Department of Labor, Office of Workers' Compensation, LR 19:54 (January 1993), repromulgated LR 19:212 (February 1993), amended LR 20:1299 (November 1994).

AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.