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Allergy Testing and Immunotherapy Following CPT codes considered medically necessary with the below listed ICD10 Codes CPT Codes Description 95115 immunotherapy one injection 95117 immunotherapy injections 95144 antigen therapy services 95145 antigen therapy services 95146 antigen therapy services 95147 antigen therapy services 95148 antigen therapy services 95149 antigen therapy services 95165 antigen therapy services ICD-10 Code Description H10411 Chronic giant papillary conjunctivitis, right eye H10412 Chronic giant papillary conjunctivitis, left eye H10413 Chronic giant papillary conjunctivitis, bilateral H1045 Other chronic allergic conjunctivitis J300 Vasomotor rhinitis J301 Allergic rhinitis due to pollen J302 Other seasonal allergic rhinitis J305 Allergic rhinitis due to food J Allergic rhinitis due to animal (cat) (dog) hair and dander J3089 Other allergic rhinitis J309 Allergic rhinitis, unspecified J4520 Mild intermittent asthma, uncomplicated J Mild intermittent asthma with (acute) exacerbation J4522 Mild intermittent asthma with status asthmaticus J4530 Mild persistent asthma, uncomplicated J Mild persistent asthma with (acute) exacerbation J4532 Mild persistent asthma with status asthmaticus J4540 Moderate persistent asthma, uncomplicated J Moderate persistent asthma with (acute) exacerbation J Moderate persistent asthma with status asthmaticus J4550 Severe persistent asthma, uncomplicated J Severe persistent asthma with (acute) exacerbation J Severe persistent asthma with status asthmaticus
J45909 Unspecified asthma, uncomplicated J45998 Other asthma T63421A Toxic effect of venom of ants, accidental (unintentional), initial encounter T63421D Toxic effect of venom of ants, accidental (unintentional), subsequent encounter T63421S Toxic effect of venom of ants, accidental (unintentional), sequela T63422A Toxic effect of venom of ants, intentional self- harm, initial encounter T63422D Toxic effect of venom of ants, intentional self- harm, subsequent encounter T63422S Toxic effect of venom of ants, intentional self- harm, sequela T63423A Toxic effect of venom of ants, assault, initial encounter T63423D Toxic effect of venom of ants, assault, subsequent encounter T63423S Toxic effect of venom of ants, assault, sequela T63424A Toxic effect of venom of ants, undetermined, initial encounter T63424D Toxic effect of venom of ants, undetermined, subsequent encounter T63424S Toxic effect of venom of ants, undetermined, sequela T63441A Toxic effect of venom of bees, accidental (unintentional), initial encounter T63441D Toxic effect of venom of bees, accidental (unintentional), subsequent encounter T63441S Toxic effect of venom of bees, accidental (unintentional), sequela T63442A Toxic effect of venom of bees, intentional self- harm, initial encounter T63442D Toxic effect of venom of bees, intentional self- harm, subsequent encounter T63442S Toxic effect of venom of bees, intentional self- harm, sequela T63443A Toxic effect of venom of bees, assault, initial encounter T63443D Toxic effect of venom of bees, assault, subsequent encounter T63443S Toxic effect of venom of bees, assault, sequela T63444A Toxic effect of venom of bees, undetermined, initial encounter T63444D Toxic effect of venom of bees, undetermined, subsequent encounter
T63464S
Toxic effect of venom of wasps, undetermined, sequela T782XXA Anaphylactic shock, unspecified, initial encounter T782XXD Anaphylactic shock, unspecified, subsequent encounter T782XXS Anaphylactic shock, unspecified, sequela T7840XA Allergy, unspecified, initial encounter T7840XD Allergy, unspecified, subsequent encounter T7840XS Allergy, unspecified, sequela T7849XA Other allergy, initial encounter T7849XD Other allergy, subsequent encounter T7849XS Other allergy, sequela T886XXA Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered, initial encounter T886XXD Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered, subsequent encounter T886XXS Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered, sequela Z9102* Food additives allergy status Z91030 Bee allergy status Z91038 Other insect allergy status Z91048 Other nonmedicinal substance allergy status Z Other allergy status, other than to drugs and biological substances CPT Codes Description 95170 Antigen Therapy Services ICD-10 Codes Description T63421A Toxic effect of venom of ants, accidental (unintentional), initial encounter T63421D Toxic effect of venom of ants, accidental (unintentional), subsequent encounter T63421S Toxic effect of venom of ants, accidental (unintentional), sequela T63422A Toxic effect of venom of ants, intentional self- harm, initial encounter T63422D Toxic effect of venom of ants, intentional self- harm, subsequent encounter T63422S Toxic effect of venom of ants, intentional self- harm, sequela T63423A Toxic effect of venom of ants, assault, initial encounter
T63423D
Toxic effect of venom of ants, assault, subsequent encounter T63423S Toxic effect of venom of ants, assault, sequela T63424A Toxic effect of venom of ants, undetermined, initial encounter T63424D Toxic effect of venom of ants, undetermined, subsequent encounter T63424S Toxic effect of venom of ants, undetermined, sequela T63481A Toxic effect of venom of other arthropod, accidental (unintentional), initial encounter T63481D Toxic effect of venom of other arthropod, accidental (unintentional), subsequent encounter T63481S Toxic effect of venom of other arthropod, accidental (unintentional), sequela T782XXA Anaphylactic shock, unspecified, initial encounter T782XXD Anaphylactic shock, unspecified, subsequent encounter T782XXS Anaphylactic shock, unspecified, sequela CPT Codes Description 95180 Rapid desensitization ICD-10 Code Description H10411 Chronic giant papillary conjunctivitis, right eye H10412 Chronic giant papillary conjunctivitis, left eye H10413 Chronic giant papillary conjunctivitis, bilateral H1045 Other chronic allergic conjunctivitis J300 Vasomotor rhinitis J301 Allergic rhinitis due to pollen J302 Other seasonal allergic rhinitis J305 Allergic rhinitis due to food J Allergic rhinitis due to animal (cat) (dog) hair and dander J3089 Other allergic rhinitis J309 Allergic rhinitis, unspecified J4520 Mild intermittent asthma, uncomplicated J Mild intermittent asthma with (acute) exacerbation J4522 Mild intermittent asthma with status asthmaticus
T361X3D
Poisoning by cephalosporins and other beta- lactam antibiotics, assault, subsequent encounter T361X3S Poisoning by cephalosporins and other beta- lactam antibiotics, assault, sequela T361X4A Poisoning by cephalosporins and other beta- lactam antibiotics, undetermined, initial encounter T361X4D Poisoning by cephalosporins and other beta- lactam antibiotics, undetermined, subsequent encounter T361X4S Poisoning by cephalosporins and other beta- lactam antibiotics, undetermined, sequela T361X5A Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter T361X5D Adverse effect of cephalosporins and other beta-lactam antibiotics, subsequent encounter T361X5S Adverse effect of cephalosporins and other beta-lactam antibiotics, sequela T361X6A Underdosing of cephalosporins and other beta- lactam antibiotics, initial encounter T361X6D Underdosing of cephalosporins and other beta- lactam antibiotics, subsequent encounter T361X6S Underdosing of cephalosporins and other beta- lactam antibiotics, sequela T362X1A Poisoning by chloramphenicol group, accidental (unintentional), initial encounter T362X1D Poisoning by chloramphenicol group, accidental (unintentional), subsequent encounter T362X1S Poisoning by chloramphenicol group, accidental (unintentional), sequela T362X2A Poisoning by chloramphenicol group, intentional self-harm, initial encounter T362X2D Poisoning by chloramphenicol group, intentional self-harm, subsequent encounter T362X2S Poisoning by chloramphenicol group, intentional self-harm, sequela T362X3A Poisoning by chloramphenicol group, assault, initial encounter T362X3D Poisoning by chloramphenicol group, assault, subsequent encounter T362X3S Poisoning by chloramphenicol group, assault, sequela
T362X4A
Poisoning by chloramphenicol group, undetermined, initial encounter T362X4D Poisoning by chloramphenicol group, undetermined, subsequent encounter T362X4S Poisoning by chloramphenicol group, undetermined, sequela T362X5A Adverse effect of chloramphenicol group, initial encounter T362X5D Adverse effect of chloramphenicol group, subsequent encounter T362X5S Adverse effect of chloramphenicol group, sequela T362X6A Underdosing of chloramphenicol group, initial encounter T362X6D Underdosing of chloramphenicol group, subsequent encounter T362X6S Underdosing of chloramphenicol group, sequela T363X1A Poisoning by macrolides, accidental (unintentional), initial encounter T363X1D Poisoning by macrolides, accidental (unintentional), subsequent encounter T363X1S Poisoning by macrolides, accidental (unintentional), sequela T363X2A Poisoning by macrolides, intentional self-harm, initial encounter T363X2D Poisoning by macrolides, intentional self-harm, subsequent encounter T363X2S Poisoning by macrolides, intentional self-harm, sequela T363X3A Poisoning by macrolides, assault, initial encounter T363X3D Poisoning by macrolides, assault, subsequent encounter T363X3S Poisoning by macrolides, assault, sequela T363X4A Poisoning by macrolides, undetermined, initial encounter T363X4D Poisoning by macrolides, undetermined, subsequent encounter T363X4S Poisoning by macrolides, undetermined, sequela T363X5A Adverse effect of macrolides, initial encounter T363X5D Adverse effect of macrolides, subsequent encounter T363X5S Adverse effect of macrolides, sequela T363X6A Underdosing of macrolides, initial encounter
T365X3A
Poisoning by aminoglycosides, assault, initial encounter T365X3D Poisoning by aminoglycosides, assault, subsequent encounter T365X3S Poisoning by aminoglycosides, assault, sequela T365X4A Poisoning by aminoglycosides, undetermined, initial encounter T365X4D Poisoning by aminoglycosides, undetermined, subsequent encounter T365X4S Poisoning by aminoglycosides, undetermined, sequela T365X5A Adverse effect of aminoglycosides, initial encounter T365X5D Adverse effect of aminoglycosides, subsequent encounter T365X5S Adverse effect of aminoglycosides, sequela T365X6A Underdosing of aminoglycosides, initial encounter T365X6D Underdosing of aminoglycosides, subsequent encounter T365X6S Underdosing of aminoglycosides, sequela T366X1A Poisoning by rifampicins, accidental (unintentional), initial encounter T366X1D Poisoning by rifampicins, accidental (unintentional), subsequent encounter T366X1S Poisoning by rifampicins, accidental (unintentional), sequela T366X2A Poisoning by rifampicins, intentional self-harm, initial encounter T366X2D Poisoning by rifampicins, intentional self-harm, subsequent encounter T366X2S Poisoning by rifampicins, intentional self-harm, sequela T366X3A Poisoning by rifampicins, assault, initial encounter T366X3D Poisoning by rifampicins, assault, subsequent encounter T366X3S Poisoning by rifampicins, assault, sequela T366X4A Poisoning by rifampicins, undetermined, initial encounter T366X4D Poisoning by rifampicins, undetermined, subsequent encounter T366X4S Poisoning by rifampicins, undetermined, sequela T366X5A Adverse effect of rifampicins, initial encounter T366X5D Adverse effect of rifampicins, subsequent encounter
T366X5S Adverse effect of rifampicins, sequela T366X6A Underdosing of rifampicins, initial encounter T366X6D Underdosing of rifampicins, subsequent encounter T366X6S Underdosing of rifampicins, sequela T367X1A Poisoning by antifungal antibiotics, systemically used, accidental (unintentional), initial encounter T367X1D Poisoning by antifungal antibiotics, systemically used, accidental (unintentional), subsequent encounter T367X1S Poisoning by antifungal antibiotics, systemically used, accidental (unintentional), sequela T367X2A Poisoning by antifungal antibiotics, systemically used, intentional self-harm, initial encounter T367X2D Poisoning by antifungal antibiotics, systemically used, intentional self-harm, subsequent encounter T367X2S Poisoning by antifungal antibiotics, systemically used, intentional self-harm, sequela T367X3A Poisoning by antifungal antibiotics, systemically used, assault, initial encounter T367X3D Poisoning by antifungal antibiotics, systemically used, assault, subsequent encounter T367X3S Poisoning by antifungal antibiotics, systemically used, assault, sequela T367X4A Poisoning by antifungal antibiotics, systemically used, undetermined, initial encounter T367X4D Poisoning by antifungal antibiotics, systemically used, undetermined, subsequent encounter T367X4S Poisoning by antifungal antibiotics, systemically used, undetermined, sequela T367X5A Adverse effect of antifungal antibiotics, systemically used, initial encounter T367X5D Adverse effect of antifungal antibiotics, systemically used, subsequent encounter T367X5S Adverse effect of antifungal antibiotics, systemically used, sequela T367X6A Underdosing of antifungal antibiotics, systemically used, initial encounter T367X6D Underdosing of antifungal antibiotics, systemically used, subsequent encounter
T3692XA
Poisoning by unspecified systemic antibiotic, intentional self-harm, initial encounter T3692XD Poisoning by unspecified systemic antibiotic, intentional self-harm, subsequent encounter T3692XS Poisoning by unspecified systemic antibiotic, intentional self-harm, sequela T3693XA Poisoning by unspecified systemic antibiotic, assault, initial encounter T3693XD Poisoning by unspecified systemic antibiotic, assault, subsequent encounter T3693XS Poisoning by unspecified systemic antibiotic, assault, sequela T3694XA Poisoning by unspecified systemic antibiotic, undetermined, initial encounter T3694XD Poisoning by unspecified systemic antibiotic, undetermined, subsequent encounter T3694XS Poisoning by unspecified systemic antibiotic, undetermined, sequela T3695XA Adverse effect of unspecified systemic antibiotic, initial encounter T3695XD Adverse effect of unspecified systemic antibiotic, subsequent encounter T3695XS Adverse effect of unspecified systemic antibiotic, sequela T3696XA Underdosing of unspecified systemic antibiotic, initial encounter T3696XD Underdosing of unspecified systemic antibiotic, subsequent encounter T3696XS Underdosing of unspecified systemic antibiotic, sequela T370X1A Poisoning by sulfonamides, accidental (unintentional), initial encounter T370X1D Poisoning by sulfonamides, accidental (unintentional), subsequent encounter T370X1S Poisoning by sulfonamides, accidental (unintentional), sequela T370X2A Poisoning by sulfonamides, intentional self- harm, initial encounter T370X2D Poisoning by sulfonamides, intentional self- harm, subsequent encounter T370X2S Poisoning by sulfonamides, intentional self- harm, sequela T370X3A Poisoning by sulfonamides, assault, initial encounter T370X3D Poisoning by sulfonamides, assault, subsequent encounter
T370X3S Poisoning by sulfonamides, assault, sequela T370X4A Poisoning by sulfonamides, undetermined, initial encounter T370X4D Poisoning by sulfonamides, undetermined, subsequent encounter T370X4S Poisoning by sulfonamides, undetermined, sequela T370X5A Adverse effect of sulfonamides, initial encounter T370X5D Adverse effect of sulfonamides, subsequent encounter T370X5S Adverse effect of sulfonamides, sequela T370X6A Underdosing of sulfonamides, initial encounter T370X6D Underdosing of sulfonamides, subsequent encounter T370X6S Underdosing of sulfonamides, sequela T371X1A Poisoning by antimycobacterial drugs, accidental (unintentional), initial encounter T371X1D Poisoning by antimycobacterial drugs, accidental (unintentional), subsequent encounter T371X1S Poisoning by antimycobacterial drugs, accidental (unintentional), sequela T371X2A Poisoning by antimycobacterial drugs, intentional self-harm, initial encounter T371X2D Poisoning by antimycobacterial drugs, intentional self-harm, subsequent encounter T371X2S Poisoning by antimycobacterial drugs, intentional self-harm, sequela T371X3A Poisoning by antimycobacterial drugs, assault, initial encounter T371X3D Poisoning by antimycobacterial drugs, assault, subsequent encounter T371X3S Poisoning by antimycobacterial drugs, assault, sequela T371X4A Poisoning by antimycobacterial drugs, undetermined, initial encounter T371X4D Poisoning by antimycobacterial drugs, undetermined, subsequent encounter T371X4S Poisoning by antimycobacterial drugs, undetermined, sequela T371X5A Adverse effect of antimycobacterial drugs, initial encounter T371X5D Adverse effect of antimycobacterial drugs, subsequent encounter
T372X5S
Adverse effect of antimalarials and drugs acting on other blood protozoa, sequela T372X6A Underdosing of antimalarials and drugs acting on other blood protozoa, initial encounter T372X6D Underdosing of antimalarials and drugs acting on other blood protozoa, subsequent encounter T372X6S Underdosing of antimalarials and drugs acting on other blood protozoa, sequela T373X1A Poisoning by other antiprotozoal drugs, accidental (unintentional), initial encounter T373X1D Poisoning by other antiprotozoal drugs, accidental (unintentional), subsequent encounter T373X1S Poisoning by other antiprotozoal drugs, accidental (unintentional), sequela T373X2A Poisoning by other antiprotozoal drugs, intentional self-harm, initial encounter T373X2D Poisoning by other antiprotozoal drugs, intentional self-harm, subsequent encounter T373X2S Poisoning by other antiprotozoal drugs, intentional self-harm, sequela T373X3A Poisoning by other antiprotozoal drugs, assault, initial encounter T373X3D Poisoning by other antiprotozoal drugs, assault, subsequent encounter T373X3S Poisoning by other antiprotozoal drugs, assault, sequela T373X4A Poisoning by other antiprotozoal drugs, undetermined, initial encounter T373X4D Poisoning by other antiprotozoal drugs, undetermined, subsequent encounter T373X4S Poisoning by other antiprotozoal drugs, undetermined, sequela T373X5A Adverse effect of other antiprotozoal drugs, initial encounter T373X5D Adverse effect of other antiprotozoal drugs, subsequent encounter T373X5S Adverse effect of other antiprotozoal drugs, sequela T373X6A Underdosing of other antiprotozoal drugs, initial encounter T373X6D Underdosing of other antiprotozoal drugs, subsequent encounter T373X6S Underdosing of other antiprotozoal drugs, sequela
T374X1A
Poisoning by anthelminthics, accidental (unintentional), initial encounter T374X1D Poisoning by anthelminthics, accidental (unintentional), subsequent encounter T374X1S Poisoning by anthelminthics, accidental (unintentional), sequela T374X2A Poisoning by anthelminthics, intentional self- harm, initial encounter T374X2D Poisoning by anthelminthics, intentional self- harm, subsequent encounter T374X2S Poisoning by anthelminthics, intentional self- harm, sequela T374X3A Poisoning by anthelminthics, assault, initial encounter T374X3D Poisoning by anthelminthics, assault, subsequent encounter T374X3S Poisoning by anthelminthics, assault, sequela T374X4A Poisoning by anthelminthics, undetermined, initial encounter T374X4D Poisoning by anthelminthics, undetermined, subsequent encounter T374X4S Poisoning by anthelminthics, undetermined, sequela T374X5A Adverse effect of anthelminthics, initial encounter T374X5D Adverse effect of anthelminthics, subsequent encounter T374X5S Adverse effect of anthelminthics, sequela T374X6A Underdosing of anthelminthics, initial encounter T374X6D Underdosing of anthelminthics, subsequent encounter T374X6S Underdosing of anthelminthics, sequela T375X1A Poisoning by antiviral drugs, accidental (unintentional), initial encounter T375X1D Poisoning by antiviral drugs, accidental (unintentional), subsequent encounter T375X1S Poisoning by antiviral drugs, accidental (unintentional), sequela T375X2A Poisoning by antiviral drugs, intentional self- harm, initial encounter T375X2D Poisoning by antiviral drugs, intentional self- harm, subsequent encounter T375X2S Poisoning by antiviral drugs, intentional self- harm, sequela T375X3A Poisoning by antiviral drugs, assault, initial encounter
T378X4A
Poisoning by other specified systemic anti- infectives and antiparasitics, undetermined, initial encounter T378X4D Poisoning by other specified systemic anti- infectives and antiparasitics, undetermined, subsequent encounter T378X4S Poisoning by other specified systemic anti- infectives and antiparasitics, undetermined, sequela T378X5A Adverse effect of other specified systemic anti- infectives and antiparasitics, initial encounter T378X5D Adverse effect of other specified systemic anti- infectives and antiparasitics, subsequent encounter T378X5S Adverse effect of other specified systemic anti- infectives and antiparasitics, sequela T378X6A Underdosing of other specified systemic anti- infectives and antiparasitics, initial encounter T378X6D Underdosing of other specified systemic anti- infectives and antiparasitics, subsequent encounter T378X6S Underdosing of other specified systemic anti- infectives and antiparasitics, sequela T3791XA Poisoning by unspecified systemic anti-infective and antiparasitics, accidental (unintentional), initial encounter T3791XD Poisoning by unspecified systemic anti-infective and antiparasitics, accidental (unintentional), subsequent encounter T3791XS Poisoning by unspecified systemic anti-infective and antiparasitics, accidental (unintentional), sequela T3792XA Poisoning by unspecified systemic anti-infective and antiparasitics, intentional self-harm, initial encounter T3792XD Poisoning by unspecified systemic anti-infective and antiparasitics, intentional self-harm, subsequent encounter T3792XS Poisoning by unspecified systemic anti-infective and antiparasitics, intentional self-harm, sequela T3793XA Poisoning by unspecified systemic anti-infective and antiparasitics, assault, initial encounter T3793XD Poisoning by unspecified systemic anti-infective and antiparasitics, assault, subsequent encounter
T3793XS
Poisoning by unspecified systemic anti-infective and antiparasitics, assault, sequela T3794XA Poisoning by unspecified systemic anti-infective and antiparasitics, undetermined, initial encounter T3794XD Poisoning by unspecified systemic anti-infective and antiparasitics, undetermined, subsequent encounter T3794XS Poisoning by unspecified systemic anti-infective and antiparasitics, undetermined, sequela T3795XA Adverse effect of unspecified systemic anti- infective and antiparasitic, initial encounter T3795XD Adverse effect of unspecified systemic anti- infective and antiparasitic, subsequent encounter T3795XS Adverse effect of unspecified systemic anti- infective and antiparasitic, sequela T3796XA Underdosing of unspecified systemic anti- infectives and antiparasitics, initial encounter T3796XD Underdosing of unspecified systemic anti- infectives and antiparasitics, subsequent encounter T3796XS Underdosing of unspecified systemic anti- infectives and antiparasitics, sequela T380X1A Poisoning by glucocorticoids and synthetic analogues, accidental (unintentional), initial encounter T380X1D Poisoning by glucocorticoids and synthetic analogues, accidental (unintentional), subsequent encounter T380X1S Poisoning by glucocorticoids and synthetic analogues, accidental (unintentional), sequela T380X2A Poisoning by glucocorticoids and synthetic analogues, intentional self-harm, initial encounter T380X2D Poisoning by glucocorticoids and synthetic analogues, intentional self-harm, subsequent encounter T380X2S Poisoning by glucocorticoids and synthetic analogues, intentional self-harm, sequela T380X3A Poisoning by glucocorticoids and synthetic analogues, assault, initial encounter T380X3D Poisoning by glucocorticoids and synthetic analogues, assault, subsequent encounter
