Allergy Billing

Allergy & Immunology Billing Services

Maximize reimbursement with accurate coding and billing support tailored for allergy testing, immunotherapy, and chronic immunologic disorders.

From patch testing and allergy shots to biologics and asthma care, we help allergists reduce denials, improve collections, and stay audit-ready.

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Allergy Testing & Immunotherapy Coding

We handle specific CPT coding for skin tests, patch testing, and allergen immunotherapy (e.g., allergy shots, SLIT), ensuring compliant documentation and proper unit billing.

95004 – Skin prick test 95024 – Intradermal test 95165 – Antigen prep 95115/95117 – Injections

Chronic Immunologic Condition Billing

We ensure accurate billing for patients with asthma, primary immunodeficiencies, and other long-term immune disorders by documenting medical necessity and securing coverage.

  • ICD-10 code mapping for chronic diagnoses
  • Recurring visit tracking and compliance
  • Asthma control testing and CPT documentation
  • Proactive denial prevention methods

In-Office Biologic & Pulmonary Procedures

Our team codes for spirometry, pulmonary function testing, and biologics like Dupixent and Xolair using HCPCS and CPT codes — capturing both drug and administration fees.

Common Procedure Codes:

  • J2357 – Xolair (per 150 mg)
  • J0517 – Dupixent (per 0.5 mL)
  • 94640 – Nebulizer treatment
  • 94010 – Spirometry test

Billing Tips:

  • Bill separately for drug & injection
  • Link to supporting ICD-10 codes
  • Verify site of service modifier

Denial Management & Appeals

Our team actively manages denials for frequency, bundling, and missing documentation with expert-level appeals and resubmissions to ensure maximum reimbursement.

  1. Identify denial trends (e.g., allergy shots exceeding limits)
  2. Draft payer-specific appeal letters
  3. Attach progress notes & medical necessity
  4. Monitor response timelines and escalate when needed

What Our Allergy Clients Say

Dr. Asha Patel

BreatheWell Allergy Clinic

"Our denials for allergy shots dropped dramatically. They understand the nuances of frequency edits and biologic billing!"

Jessica M., Practice Manager

ImmunoHealth Partners

"Their coding for biologics and asthma patients has improved our collections and compliance. Highly recommended."

Struggling with allergy shot denials or biologic billing?

Schedule a Free Consultation